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1407914302
VENKATA PERICHERLA
MIAMI, FL
NPI
1407914302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA MD064819L)
Enumeration Date
2006-12-04
Last Update Date
2024-10-24
Business Address
VENKATA PERICHERLA
988 SW 154TH PATH
MIAMI, FL 33194-2786
Phone number: 814-931-3736
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Mailing Address
VENKATA PERICHERLA
PO BOX 770340
MIAMI, FL 33177-0006
Phone number: 814-931-3736
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