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Individual
MRS. SUDHA PARVATANENI
Active
Individual
MRS. SUDHA PARVATANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
213420
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2099071
—
MA
01
—
30206070
EDS N H MEDICAID
—
01
—
3793946
AETNA REFF#
—
01
—
467973
TUFTS HEALTH PLAN
—
01
—
7296649
PRE CERT#
—
01
—
91550
FALLON COMM HEALTH PLANS
—
01
—
96849001
NETWORK HEALTH PLAN
—
01
—
AA28967
HARVARD PILGRIM
—
01
—
J28533
BCBS OF MASS
—
Enumeration date
10/06/2006
Last updated
07/08/2007
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