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Individual

SOUJANYA SODAVARAPU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000

Taxonomy

Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
A127562
CA
207R00000X
Internal Medicine Physician
125060184
IL
207R00000X
Internal Medicine Physician
A127562
CA
207RR0500X
Rheumatology Physician
39001
OK
207RR0500X
Rheumatology Physician
Primary
A127562
CA

Other

Enumeration date
08/31/2011
Last updated
08/05/2024
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