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Individual
AMY KATTAPURAM
Active
Individual
AMY KATTAPURAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M D
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A084506
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A084506
LICENSE NUMBER
CA
Enumeration date
07/06/2006
Last updated
05/15/2009
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