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Individual

MAHESWARA REDDY KOPPULA

Active
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Individual

MAHESWARA REDDY KOPPULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
028172
OH
207R00000X
Internal Medicine Physician
Primary
58980
TN
207R00000X
Internal Medicine Physician
DR-0026718
DE
207R00000X
Internal Medicine Physician
MD477801
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100626230
KY
Enumeration date
07/16/2016
Last updated
07/02/2025
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