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Individual

DR. SIDDHARTHA HARISH KRISHNA DEVARAKONDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2014039433
MO
207RH0003X
Hematology & Oncology Physician
2014039433
MO
207RX0202X
Medical Oncology Physician
2014039433
MO
207RX0202X
Medical Oncology Physician
Primary
MD61372698
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2238079
WA
Enumeration date
07/26/2011
Last updated
05/24/2023
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