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Individual
SUMAN ANNAMBHOTLA
Active
Individual
SUMAN ANNAMBHOTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
M8500
TX
2086S0129X
Vascular Surgery Physician
Primary
070035
GA
Other
Enumeration date
01/12/2010
Last updated
05/13/2021
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