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1013619832
VENKATA KALYAN C BYRAPOGU
IDAHO FALLS, ID
NPI
1013619832
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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
2023-03-17
Last Update Date
2023-03-17
Business Address
Mr. VENKATA KALYAN C BYRAPOGU MD
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-970-1123
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Mailing Address
Mr. VENKATA KALYAN C BYRAPOGU MD
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-970-1123
Copy
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