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Individual
PREETI GUDIMELLA
Active
Individual
PREETI GUDIMELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.140974
OH
207Q00000X
Family Medicine Physician
4301113335
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0426729
—
OH
Enumeration date
06/27/2017
Last updated
04/01/2021
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