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Individual
MRUNALINI DANDAMUDI
Active
Individual
MRUNALINI DANDAMUDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36641
WV
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639800170
—
WV
Enumeration date
06/23/2022
Last updated
08/06/2026
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