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1356723225
BHAVANI POKALA
FORT WAYNE, IN
NPI
1356723225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: IN 01085501A)
Additional Taxonomies
208600000X Surgery
(Licence: NE 7587)
Enumeration Date
2015-06-26
Last Update Date
2023-03-24
Business Address
Dr. BHAVANI POKALA M.D.
2231 CAREW ST
FORT WAYNE, IN 46805-4713
Phone number: 260-266-8900
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Mailing Address
Dr. BHAVANI POKALA M.D.
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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