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Individual

GURPUR SHASHIDHAR PAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
10267
SC
2080P0006X
Developmental - Behavioral Pediatrics Physician
10267
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102677
SC
Enumeration date
08/29/2006
Last updated
10/22/2020
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