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Individual
VBR DATTA AMARA SAI MITNALA
Active
Individual
VBR DATTA AMARA SAI MITNALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301104047
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/22/2010
Last updated
07/16/2013
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