Individual
DR. SAMBASIVARAO R MOPARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102 CANTERBURY RD, DUBLIN, GA 31021-2976
(478) 272-5367
Mailing address
102 CANTERBURY RD, DUBLIN, GA 31021-2976
(478) 272-5367
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01029518A
IN
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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