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1083474241
KASAMA MANOTHUMMETHA
MIAMI, FL
NPI
1083474241
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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
2024-03-22
Last Update Date
2024-03-22
Business Address
KASAMA MANOTHUMMETHA MD
1611 NW 12TH AVE FL 33136
MIAMI, FL 33136-1005
Phone number: 305-355-1222
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Mailing Address
KASAMA MANOTHUMMETHA MD
145 SW 13TH ST APT NO339
MIAMI, FL 33130-4226
Phone number: 443-683-0537
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