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1104454628
SHYAM VEDANTAM
MIAMI, FL
NPI
1104454628
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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
2020-03-30
Last Update Date
2020-03-30
Business Address
SHYAM VEDANTAM DO
1611 NW 12TH AVE
MIAMI, FL 33136-1005
Phone number: 305-585-5215
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Mailing Address
SHYAM VEDANTAM DO
4209 TALL OAK LN
PLANO, TX 75074-1633
Phone number: 214-908-9769
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