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Individual
SUJATHA MEDARAMETLA
Active
Individual
SUJATHA MEDARAMETLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME85863
FL
207R00000X
Internal Medicine Physician
Primary
N0267
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200441801
—
TX
05
—
200441802
—
TX
05
—
200441803
—
TX
05
—
200441804
—
TX
05
—
200441806
—
TX
Enumeration date
08/30/2006
Last updated
02/26/2013
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