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Individual

DR. SAMAVEDAM ANANTA KRISHNA

Active
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Individual

DR. SAMAVEDAM ANANTA KRISHNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.071097
OH
207RS0012X
Sleep Medicine (Internal Medicine) Physician
35.071097
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2023456
—
OH
01
—
311615821-00
OHIO BWC
—
Enumeration date
12/18/2006
Last updated
02/28/2013
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