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Individual

DEEPAK K MUMMIDAVARAPU JANAKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1120 NW 14TH ST, STE 1136, C 216, MIAMI, FL 33136-2107
(305) 215-2842
Mailing address
1120 NW 14TH ST, STE 1136, C 216, MIAMI, FL 33136-2107
(305) 215-2842

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125051332
IL
208M00000X
Hospitalist Physician
Primary
ME105172
FL

Other

Enumeration date
06/06/2007
Last updated
12/08/2015
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