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1265521058
RAVI K KODURU
TERRE HAUTE, IN
NPI
1265521058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IN 01057643A)
Enumeration Date
2006-10-12
Last Update Date
2012-07-19
Business Address
Dr. RAVI K KODURU M.D.
1332 N 7TH ST
TERRE HAUTE, IN 47807-1004
Phone number: 812-478-8888
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Mailing Address
Dr. RAVI K KODURU M.D.
264 E TRAILWOOD DR
TERRE HAUTE, IN 47802-9606
Phone number: 812-478-8888
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