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Organization

NANJAIAH FAMILY PRACTICE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUDHARANI BANGALORE NANJAIAH M.D. (PHYSICIAN)
(724) 879-4642
Entity
Organization

Contact information

Practice address
433 FRYE FARM RD, SUITE #10, GREENSBURG, PA 15601-7920
(724) 879-4642
(724) 879-8381
Mailing address
433 FRYE FARM RD, SUITE #10, GREENSBURG, PA 15601-7920
(724) 879-4642
(724) 879-8381

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD434991
PA

Other

Enumeration date
02/19/2014
Last updated
02/19/2014
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