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Individual
UJWALA R IYYUNNI
Active
Individual
UJWALA R IYYUNNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0074910
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110221946
RR MCR LOC 2
FL
05
—
253567000
—
FL
01
—
43562
BLUE CROSS
FL
01
—
P00658955
RR MCR LOC 1
FL
Enumeration date
09/26/2006
Last updated
03/05/2009
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