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Individual
DR. VENKAT VIKRAM CHITUMALLA
Active
Individual
DR. VENKAT VIKRAM CHITUMALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301085558
MI
207RN0300X
Nephrology Physician
Primary
ME109160
FL
390200000X
Student in an Organized Health Care Education/Training Program
4301085558
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003847100
—
FL
Enumeration date
06/12/2007
Last updated
12/06/2011
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