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Individual

BHAVANI VADDEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1050 W INDUSTRIAL BLVD, SOUTH CUMBERLAND MARKET PLC PRIMARY CARE, CUMBERLAND, MD 21502-4331
(240) 964-4000
Mailing address
12500 WILLOWBROOK RD, CUMBERLAND, MD 21502-6393
(240) 964-4000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0074019
MD
207Q00000X
Family Medicine Physician
MT195174
PA

Other

Enumeration date
05/21/2009
Last updated
08/10/2012
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