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1154994200
REVANTH REDDY BANDARU
GREENVILLE, NC
NPI
1154994200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NC RTL21-0293)
Enumeration Date
2021-07-16
Last Update Date
2021-07-16
Business Address
REVANTH REDDY BANDARU MD
2100 STANTONSBURG RD
GREENVILLE, NC 27834-2818
Phone number: 470-237-6445
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Mailing Address
REVANTH REDDY BANDARU MD
1105 KATIE LN
GREENVILLE, NC 27834-0942
Phone number: 470-237-6445
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