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Individual

BHAGYA LAXMI GADDAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MBBS

Contact information

Practice address
2041 GEORGIA AVE NW, 5C-26, WASHINGTON, DC 20060-0001
(202) 865-1924
(202) 865-7199
Mailing address
2041 GEORGIA AVE NW, 5C-26, WASHINGTON, DC 20060-0001
(202) 865-1924
(202) 865-7199

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A169824
CA
208M00000X
Hospitalist Physician
A169824
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/25/2017
Last updated
08/19/2020
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