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Individual

DR. RAJAMANI AVULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9330 BROADWAY, CROWN POINT, IN 46307-8602
(800) 644-1243
Mailing address
2922 CARMEL DR, FLOSSMOOR, IL 60422-2284

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01051848A
IN
207R00000X
Internal Medicine Physician
20046
WV
207R00000X
Internal Medicine Physician
4301068556
MI

Other

Enumeration date
09/21/2006
Last updated
08/25/2011
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