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1437635984
SUDHA PENUMALA
GRAND RAPIDS, MI
NPI
1437635984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: KY 55256)
Enumeration Date
2018-07-18
Last Update Date
2023-10-30
Business Address
SUDHA PENUMALA
300 LAFAYETTE AVE SE STE 2045
GRAND RAPIDS, MI 49503-4692
Phone number: 616-685-3098
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Mailing Address
SUDHA PENUMALA
PO BOX 776974
CHICAGO, IL 60677-6974
Phone number: 800-494-5797
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