Individual
DR. PADMARAJ DATTATREY DUVVURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
68335
TN
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
68335
TN
207RC0000X
Cardiovascular Disease Physician
036142673
IL
207RC0000X
Cardiovascular Disease Physician
Primary
22622
ND
207RC0000X
Cardiovascular Disease Physician
68335
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036142673
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35.098582
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
68335
TN
Other
Enumeration date
05/22/2009
Last updated
11/05/2025
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