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Individual
SUDHIR WALAVALKAR
Active
Individual
SUDHIR WALAVALKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301041018
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
SW041018
MI
Other
Enumeration date
01/03/2006
Last updated
12/29/2011
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