Pavan K Davuluri MD

NPI 1073580577 - Anesthesiology - 207L00000X

NPI Details
NPI 1073580577
Gender Male
Enumeration Date 03/02/2006
Last Updated 03/26/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1100 BUTTE ST
REDDING CA, 96001-0852, US
Phone (530) 241-0410
Fax
Business Location
3116 W MARCH LN
STE 200
STOCKTON CA, 95219-2369, US
Phone (209) 473-6555
Fax (209) 473-6544
Toxanomy
Taxonomy Code 207L00000X
License State California
License Number A055171
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According to our database, Pavan K Davuluri MD NPI is 1073580577, taxonomy code is 207L00000X and license number is A055171, license state is located at California. Pavan K Davuluri MD physically located at 1100 Butte St, Redding CA, 96001-0852. NPI Number Pavan K Davuluri MD has the Individual type.

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1073580577 NPI number is provided on an as is basis without warranty of any kind. 1073580577 is maintained by the National Plan & Provider Enumeration System. The contents of Pavan K Davuluri MD are for informational purposes only.