Individual
PRIYANKA EDARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
33 W RAHN RD, DAYTON, OH 45429-2213
(937) 433-8990
(937) 433-8691
Mailing address
33 W RAHN RD, DAYTON, OH 45429-2213
(937) 433-8990
(937) 433-8691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.120485
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0086343
—
OH
Enumeration date
08/05/2010
Last updated
01/24/2014
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