Subramanya Vara Prasad Gajaraju Venkata M.D

NPI 1184854721 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1184854721
Gender Male
Enumeration Date 07/16/2009
Last Updated 07/16/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
4323 COLDEN ST
APT 8F
FLUSHING NY, 11355-5901, US
Phone (443) 851-1025
Fax
Business Location
4323 COLDEN ST
APT 8F
FLUSHING NY, 11355-5901, US
Phone (443) 851-1025
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Subramanya Vara Prasad Gajaraju Venkata M.D NPI is 1184854721, taxonomy code is 390200000X Subramanya Vara Prasad Gajaraju Venkata M.D physically located at 4323 Colden St, Flushing NY, 11355-5901. NPI Number Subramanya Vara Prasad Gajaraju Venkata M.D has the Individual type.

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1184854721 NPI number is provided on an as is basis without warranty of any kind. 1184854721 is maintained by the National Plan & Provider Enumeration System. The contents of Subramanya Vara Prasad Gajaraju Venkata M.D are for informational purposes only.