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Organization

ORGANIZATION1

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAMA INTURI (PHIL)
(614) 401-5897
Entity
Organization

Contact information

Practice address
230 N MAIN STREET, DAYTON, OH 45402
(614) 401-5987
Mailing address
230 N MAIN STREET, DAYTON, OH 45402

Taxonomy

Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary

Other

Enumeration date
03/24/2017
Last updated
03/24/2017
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