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Individual

BHARATHI DUKKIPATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301076475
MI
207RN0300X
Nephrology Physician
Primary
4301076475
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
489595510
MI
01
700H262220
BLUE CROSS-BLUE CROSS
01
BG076475
CHAMPUS-CHAMPUS
Enumeration date
05/19/2006
Last updated
05/29/2018
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