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Individual

DR. NAGA RAJU DANTHULURI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2828 HIGHWAY 31 S, DECATUR, AL 35603-1510
(256) 340-1212
Mailing address
2828 HIGHWAY 31 S, DECATUR, AL 35603-1510
(256) 340-1212

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
00020090
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000021165
AL
Enumeration date
03/23/2007
Last updated
11/05/2015
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