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Individual

NAYKALA A RUSE

Active
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Individual

NAYKALA A RUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27319
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051004035
BLUE CROSS BLUE SHIELD AL
AL
05
051557713
AL
01
408111536
RAILROAD MEDICRE
AL
Enumeration date
06/17/2006
Last updated
02/27/2012
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