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Individual
SUNEEL K VALLABHANENI
Active
Individual
SUNEEL K VALLABHANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301083452
MI
207R00000X
Internal Medicine Physician
Primary
Q2497
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932307097
—
MI
01
—
381870664
TAX ID
—
01
—
700G360210
BLUE CARE NETWORK
MI
01
—
7462944
AETNA
MI
01
—
SV083452
STATE LICENSE
MI
Enumeration date
07/10/2007
Last updated
12/17/2024
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