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Individual

ABHIRAM DUVVURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1500 SW 10TH AVE, TOPEKA, KS 66604
(785) 354-5242
(785) 354-6349
Mailing address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-5242
(785) 354-6349

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-38104
KS
207RG0100X
Gastroenterology Physician
2021027837
MO
208M00000X
Hospitalist Physician
Primary
04-38104
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
068002335
MEDICARE PTAN
KS
05
201115140A
KS
Enumeration date
07/06/2012
Last updated
08/09/2021
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