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Organization
SUBBARAYUDU KOPPERA MD
Active
Organization
SUBBARAYUDU KOPPERA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUBBARAYUDU KOPPERA MD (OWNER)
(740) 622-6474
Entity
Organization
Contact information
Practice address
7594 OGDEN WOODS BLVD, NEW ALBANY, OH 43054-9635
(740) 622-6474
Mailing address
7594 OGDEN WOODS BLVD, NEW ALBANY, OH 43054-9635
(740) 622-6474
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35-049871
OH
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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