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1265843353
HARSHA VARDHAN REDDY BANAVASI
ROME, GA
NPI
1265843353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RP1001X Internal Medicine Pulmonary Disease
(Licence: GA 84103)
Enumeration Date
2014-05-12
Last Update Date
2020-06-16
Business Address
HARSHA VARDHAN REDDY BANAVASI MD
1825 MARTHA BERRY BLVD NW
ROME, GA 30165-1625
Phone number: 762-235-2150
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Mailing Address
HARSHA VARDHAN REDDY BANAVASI MD
221 TECHNOLOGY PKWY NW
ROME, GA 30165-1369
Phone number: 762-235-1000
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