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Individual

DR. SAIKIRAN JONNADULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5000
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6421

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D90691
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D90691
LICENSE
MD
Enumeration date
06/28/2017
Last updated
02/24/2021
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