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1235248477
KRISHNAMOHAN REDDY BASARAKODU
DOTHAN, AL
NPI
1235248477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RH0003X Internal Medicine Hematology & Oncology
(Licence: MO 2007001544)
Enumeration Date
2006-08-30
Last Update Date
2018-06-20
Business Address
KRISHNAMOHAN REDDY BASARAKODU MD
1118 ROSS CLARK CIR STE 200
DOTHAN, AL 36301
Phone number: 334-944-4673
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Mailing Address
KRISHNAMOHAN REDDY BASARAKODU MD
1400 AFFLINK PLACE, SUITE 100
TUSCALOOSA, AL 35406
Phone number: 205-366-9740
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