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Individual
MADHAVI GADIRAJU
Active
Individual
MADHAVI GADIRAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301102304
MI
207R00000X
Internal Medicine Physician
Primary
R6397
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079837301
—
TX
01
—
804641
TX MEDICARE
TX
Enumeration date
07/24/2013
Last updated
07/28/2020
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