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Individual

DR. V PRASAD YITTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
813 STATE ST, OGDENBURG, NY 13669
(315) 393-0977
(315) 393-8587
Mailing address
813 STATE ST, OGDENBURG, NY 13669
(315) 393-0977
(315) 393-8587

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
129241
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00599537
NY
Enumeration date
10/17/2006
Last updated
07/08/2007
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