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1033956156
RUPALA GHANSHYAM LLC
MELBOURNE, FL
NPI
1033956156
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Entity Type
Organization
Authorized Contact
STAN MYERS
Credentialing Manager
332-330-3903
Organization Subpart ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
Enumeration Date
2024-07-15
Last Update Date
2024-07-15
Business Address
RUPALA GHANSHYAM LLC
828 VENTURI CT
MELBOURNE, FL 32940-1797
Phone number: 321-364-2080
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Mailing Address
RUPALA GHANSHYAM LLC
828 VENTURI CT
MELBOURNE, FL 32940-1797
Phone number: 321-364-2080
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