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Individual

DR. SANTI GOTTUMUKKALA

Active
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Individual

DR. SANTI GOTTUMUKKALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01069216A
IN
207R00000X
Internal Medicine Physician
BP1-0031988
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100136240
IN
Enumeration date
07/16/2008
Last updated
03/12/2025
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