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Individual
VIJAYALAKSHMI THOTA
Active
Individual
VIJAYALAKSHMI THOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036088719
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036088719
—
IL
Enumeration date
07/12/2005
Last updated
02/17/2022
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