Individual
MR. SUNIL DAVID MADDIRALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4075 COPPER RIDGE DR, TRAVERSE CITY, MI 49684-7059
(888) 632-0544
(231) 932-4105
Mailing address
4936 VILLAGE CREST DRIVE, #207, MIDLOTHIAN, VA 23112
(804) 245-7042
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101243809
VA
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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