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Individual
DR. MUDALODU VEERARAGHAVACHAR VASUDEVAN
Active
Individual
DR. MUDALODU VEERARAGHAVACHAR VASUDEVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17489
NV
207Q00000X
Family Medicine Physician
4301102270
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301102270
MEDICAL LICENSE
MI
01
—
5315058571
PHARMACY LICENSE CONTROLLED SUBSTANCE NUMBER
MI
Enumeration date
04/01/2013
Last updated
11/18/2017
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