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1225615883
REVANTH KOSARAJU
LOS ANGELES, CA
NPI
1225615883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-28
Last Update Date
2024-06-24
Business Address
REVANTH KOSARAJU MD
127 S SAN VICENTE BLVD BLDG A3100
LOS ANGELES, CA 90048-3311
Phone number: 310-423-3277
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Mailing Address
REVANTH KOSARAJU MD
127 S SAN VICENTE BLVD BLDG A3100
LOS ANGELES, CA 90048-3311
Phone number: 310-423-3277
Copy
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