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1114182441
SHRAVAN KUMAR REDDY MALLAPU
BRONX, NY
NPI
1114182441
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 272176)
Enumeration Date
2008-07-25
Last Update Date
2020-09-16
Business Address
Dr. SHRAVAN KUMAR REDDY MALLAPU
2015 GRAND CONCOURSE
BRONX, NY 10453-4303
Phone number: 718-299-7295
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Mailing Address
Dr. SHRAVAN KUMAR REDDY MALLAPU
1434 WILLIAMSBRIDGE RD FL 2
BRONX, NY 10461-2507
Phone number: 718-618-0401
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