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Individual

DR. LALITH VARDHAN CHOUDHARY NAMBURU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
(423) 431-6111
Mailing address
PO BOX 70622, JOHNSON CITY, TN 37614-1709
(423) 439-6283
(423) 439-6283

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
06/19/2019
Last updated
06/19/2019
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