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1467621987
BASAVANA GOUDA BHARAMANA GOUDRA
PHILADELPHIA, PA
NPI
1467621987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: PA MD424212)
Enumeration Date
2008-02-28
Last Update Date
2024-06-18
Business Address
BASAVANA GOUDA BHARAMANA GOUDRA MD
3400 SPRUCE ST 6 DULLES
PHILADELPHIA, PA 19104-4238
Phone number: 215-349-8310
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Mailing Address
BASAVANA GOUDA BHARAMANA GOUDRA MD
3400 SPRUCE STREET 6 DULLES
PHILADELPHIA, PA 19104
Phone number: 215-349-8310
Copy
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