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VISHNUVENI LEELARUBAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
725 S QUEEN ST, DOVER, DE 19904-3568
(302) 678-4488
(302) 678-4497
Mailing address
355 BARD AVE DEPT OF, STATEN ISLAND, NY 10310-1664
(718) 818-2419

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C1-0024260
DE
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/27/2018
Last updated
08/04/2021
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