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Individual

DR. VEDAVYAS GANNAMANI

Active
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Individual

DR. VEDAVYAS GANNAMANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA09969600
NJ
207R00000X
Internal Medicine Physician
MD461133
PA
207RH0000X
Hematology (Internal Medicine) Physician
Primary
73972
MN
207RH0003X
Hematology & Oncology Physician
036.149888
IL
207RH0003X
Hematology & Oncology Physician
73972
MN

Other

Enumeration date
08/26/2013
Last updated
10/25/2023
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