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Individual
DR. SURESH VADADA
Active
Individual
DR. SURESH VADADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35074411V
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0114549
GROUP MEDICAID
OH
05
—
2072215
—
OH
01
—
KI9260531
GROUP MEDICARE
OH
Enumeration date
06/28/2005
Last updated
02/01/2012
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