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Individual

KAVITHA POLKAMPALLY

Active
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Individual

KAVITHA POLKAMPALLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MA07596300
NJ
207R00000X
Internal Medicine Physician
Primary
MD443730
PA

Other

Enumeration date
09/14/2006
Last updated
03/23/2017
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