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Individual

VIJAYASEKHAR REDDY TATAGARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
31 GOODEN AVE, DOVER, DE 19904-4143
(302) 674-9141
(302) 674-5907
Mailing address
31 GOODEN AVE, DOVER, DE 19904-4143
(302) 674-9141
(302) 674-5907

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C1-0004573
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0001085802
DE
01
46823
COVENTRY HEALTH CARE DE
DE
Enumeration date
09/28/2006
Last updated
05/16/2012
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