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Organization
SARADA MYLAVARAPU, M.D., A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
SARADA MYLAVARAPU, M.D., A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARADA MYLAVARAPU M.D. (PRESIDENT)
(800) 883-7243
Entity
Organization
Contact information
Practice address
17100 EUCLID ST, FOUNTAIN VALLEY, CA 92708-4004
(800) 883-7243
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A44934
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A449340
—
CA
Enumeration date
09/28/2006
Last updated
08/17/2009
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