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Individual
SUMITRA DHANYAMRAJU
Active
Individual
SUMITRA DHANYAMRAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
208516
NY
207Q00000X
Family Medicine Physician
MD 432014
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01841634
—
NY
01
—
124732KQC
OTHER MEDICARE ID #
PA
Enumeration date
11/07/2006
Last updated
04/04/2012
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