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Individual
DR. SAAD P KEMENNU
Active
Individual
DR. SAAD P KEMENNU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301050270
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38-3468933
COMMERCIAL
MI
05
—
4530981-10
—
MI
01
—
700F37550
BCN
MI
01
—
C3894
MCARE
MI
01
—
E49561
HAP
MI
Enumeration date
04/12/2006
Last updated
06/28/2011
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