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Individual
SEREF BORNOVALI
Active
Individual
SEREF BORNOVALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01068901A
IN
207R00000X
Internal Medicine Physician
Primary
35.081534
OH
207R00000X
Internal Medicine Physician
48113
KY
207R00000X
Internal Medicine Physician
N6823
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000696308
ANTHEM
—
05
—
2490102
—
OH
Enumeration date
06/27/2005
Last updated
02/18/2016
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