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1003308925
SRIKAR VEGESNA
PHILADELPHIA, PA
NPI
1003308925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA MD475299)
Enumeration Date
2018-06-06
Last Update Date
2024-02-14
Business Address
SRIKAR VEGESNA
2118 COTTMAN AVE
PHILADELPHIA, PA 19149-1133
Phone number: 215-342-3020
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Mailing Address
SRIKAR VEGESNA
3500 N BROAD ST RM 1A
PHILADELPHIA, PA 19140-4106
Phone number: 215-926-9019
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