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Individual
SANTOSHI LATTUPALLY
Active
Individual
SANTOSHI LATTUPALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
84705
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
847052
—
SC
01
—
SCI7855019
MEDICARE PIN
SC
01
—
SCI7856084
MEDICARE PIN
SC
01
—
SCI785J577
MEDICARE PIN
SC
Enumeration date
07/07/2017
Last updated
07/15/2021
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