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Individual
SAROJA DANDAMUDI
Active
Individual
SAROJA DANDAMUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
222699
MA
207R00000X
Internal Medicine Physician
Primary
C56061
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2080940
—
MA
01
—
469687
TUFTS
MA
01
—
AA18008
HARVARD PILGRIM
MA
01
—
J28053
BLUE CROSS
MA
Enumeration date
02/09/2006
Last updated
11/20/2013
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