Individual
SUDHIR BABU MOVVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 747-1633
(802) 775-7214
Mailing address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 747-1633
(802) 775-7214
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
259193
NY
207RN0300X
Nephrology Physician
042.0012471
VT
208M00000X
Hospitalist Physician
Primary
042.0012471
VT
Other
Enumeration date
01/13/2010
Last updated
06/22/2012
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