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1093147225
SREEVATHSA BORAIAH
STAMFORD, CT
NPI
1093147225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: NY 60 271604)
Enumeration Date
2013-07-30
Last Update Date
2013-07-30
Business Address
-- SREEVATHSA BORAIAH MD
100 PROSPECT ST APT N209
STAMFORD, CT 06901-1696
Phone number: 313-686-1024
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Mailing Address
-- SREEVATHSA BORAIAH MD
100 PROSPECT ST APT N209
STAMFORD, CT 06901-1696
Phone number: 313-686-1024
Copy
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