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1013603141
SAI SHANMUKHA SREERA PANNALA
STATEN ISLAND, NY
NPI
1013603141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-12
Last Update Date
2023-10-11
Business Address
SAI SHANMUKHA SREERA PANNALA M.D.
475, SEAVIEW AVENUE DEPARTMENT OF MEDINCE
STATEN ISLAND, NY 10305
Phone number: 718-226-8313
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Mailing Address
SAI SHANMUKHA SREERA PANNALA M.D.
475, SEAVIEW AVENUE DEPARTMENT OF MEDINCE
STATEN ISLAND, NY 10305
Phone number: 718-226-8313
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