Individual
RAVIKIRAN KUMAR TATIKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
1580 S DUPONT HWY, DOVER, DE 19901-4900
(302) 734-4788
Mailing address
202 CHRISTIANA MDWS, BEAR, DE 19701-2802
(302) 743-3764
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
A1-003697
DE
Other
Enumeration date
03/11/2011
Last updated
03/11/2011
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