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Individual

DR. KISHORI VEERABHADRAPPA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
1100 MEADE ST, DUNMORE, PA 18512-3169
(570) 342-3675
Mailing address
1100 MEADE ST, DUNMORE, PA 18512-3169
(570) 342-3675

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
252374
NY
207RH0003X
Hematology & Oncology Physician
Primary
MD446604
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1027482470001
PA
Enumeration date
05/02/2011
Last updated
12/02/2015
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