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Individual

DR. KALYANI R MEDURI

Active
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Individual

DR. KALYANI R MEDURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036121876
IL
207R00000X
Internal Medicine Physician
39329
IA
207R00000X
Internal Medicine Physician
ME141486
FL
207RG0100X
Gastroenterology Physician
MD456022
PA
207RG0100X
Gastroenterology Physician
Primary
ME141486
FL

Other

Enumeration date
10/14/2008
Last updated
05/05/2021
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