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Individual
VIJAYA VARDHANRAO MULLAPUDI SR.
Active
Individual
VIJAYA VARDHANRAO MULLAPUDI SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
044212
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A100197680
MEDICARE
—
Enumeration date
07/22/2019
Last updated
07/22/2019
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