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Individual

RAMMOHANRAO DEBBADI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
835 SWEITZER ST, GREENVILLE, OH 45331-1007
(937) 548-1141
Mailing address
835 SWEITZER ST, GREENVILLE, OH 45331-1007
(937) 548-1141

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35047118
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000342334
ANTHEM
OH
05
0740863
OH
05
200355900
IN
01
39-03304
UNITEDHEALTHCARE CCC
OH
01
39-20481
UNITEDHEALTHCARE ER
OH
Enumeration date
06/13/2006
Last updated
06/25/2008
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