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Individual
VISHNUVARDHAN REDDY KOMARI
Active
Individual
VISHNUVARDHAN REDDY KOMARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C147294
CA
390200000X
Student in an Organized Health Care Education/Training Program
57-015853
OH
Other
Enumeration date
05/01/2009
Last updated
07/21/2022
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