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Individual
HARISH MADALA
Active
Individual
HARISH MADALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301099976
MI
207RH0003X
Hematology & Oncology Physician
0101264035
VA
207RH0003X
Hematology & Oncology Physician
Primary
91670
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
91670
GEORGIA MEDICAL LICENSE
GA
Enumeration date
06/29/2012
Last updated
04/11/2024
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