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Individual

DR. GANAPATHI RAO MOKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2450 MILL ST, ALIQUIPPA, PA 15001-2236
(724) 375-1066
(724) 375-8004
Mailing address
2450 MILL ST, ALIQUIPPA, PA 15001-2236
(724) 375-1066
(724) 375-8004

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD021972E
PA
207R00000X
Internal Medicine Physician
MD021972E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009525430001
PA
Enumeration date
09/11/2006
Last updated
03/24/2008
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