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Individual
DR. GURU PRAKASH MOHANTY
Active
Individual
DR. GURU PRAKASH MOHANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101258871
VA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
0101258871
VA
207RC0001X
Clinical Cardiac Electrophysiology Physician
MD19842
ME
Other
Enumeration date
01/26/2008
Last updated
07/02/2019
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