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1174212120
JAAHNAVI KONIDALA
SHREVEPORT, LA
NPI
1174212120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-05-04
Last Update Date
2023-05-04
Business Address
JAAHNAVI KONIDALA MD
2600 GREENWOOD RD
SHREVEPORT, LA 71103-3908
Phone number: 318-212-4000
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Mailing Address
JAAHNAVI KONIDALA MD
2600 GREENWOOD RD
SHREVEPORT, LA 71103-3908
Phone number:
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