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Individual

SAILATHA BATHULA

Active
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Individual

SAILATHA BATHULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2005-01725
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
141HR
BCBS NC
NC
01
5534173
CIGNA
05
5902486
NC
01
7178754
AETNA
Enumeration date
07/05/2006
Last updated
02/23/2010
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