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Individual

DR. VAKULA DEVI ATTHOTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.,

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08958800
NJ
207RI0200X
Infectious Disease Physician
Primary
25MA08958800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0279862
NJ
Enumeration date
02/10/2008
Last updated
05/31/2019
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