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Individual
SRINIVAS RAJU DANTULURI
Active
Individual
SRINIVAS RAJU DANTULURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS15027
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100363400
—
FL
01
—
J7060
BCBS
FL
01
—
LL296
MEDICARE
FL
Enumeration date
04/01/2015
Last updated
08/28/2020
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