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Individual

NAGESWARA R PODAPATI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 MEDICAL CENTER DR, HAZARD, KY 41701-9466
(606) 439-4878
Mailing address
74 HEMALATA LN, HAZARD, KY 41701-9461
(606) 439-4878

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
31225
KY
207RI0011X
Interventional Cardiology Physician
Primary
31225
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64312259
KY
Enumeration date
06/10/2006
Last updated
11/06/2017
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