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Individual
SUGANYA CHANDRAMOHAN
Active
Individual
SUGANYA CHANDRAMOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
T2841
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105368
105368
TX
Enumeration date
03/28/2018
Last updated
09/16/2022
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