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Individual

DR. DEVIPRASAD M TANTRI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2104 FRONT ST, SUITE B, CUYAHOGA FALLS, OH 44221-3259
(330) 923-3502
(330) 923-3507
Mailing address
2104 FRONT ST, SUITE B, CUYAHOGA FALLS, OH 44221-3259
(330) 923-3502
(330) 923-3507

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
35-04-0407
OH
208D00000X
General Practice Physician
35040407
OH

Other

Enumeration date
03/27/2006
Last updated
05/07/2015
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