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1295996916
SARAT CHANDRA KHANDAVALLI
WYOMING, MI
NPI
1295996916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: MI 4301097445)
Enumeration Date
2008-06-25
Last Update Date
2021-07-14
Business Address
SARAT CHANDRA KHANDAVALLI M.D.
5900 BYRON CENTER AVE SW
WYOMING, MI 49519-9606
Phone number: 616-252-7166
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Mailing Address
SARAT CHANDRA KHANDAVALLI M.D.
PO BOX 1629
LIMA, OH 45802-1629
Phone number: 877-378-4293
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