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1487282034
RAVITEJA SURYADEVARA
LOUISVILLE, KY
NPI
1487282034
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-30
Last Update Date
2022-05-10
Business Address
RAVITEJA SURYADEVARA MD
530 S JACKSON ST # C07
LOUISVILLE, KY 40202-1675
Phone number: 502-852-5875
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Mailing Address
RAVITEJA SURYADEVARA MD
530 S JACKSON ST # C07
LOUISVILLE, KY 40202-1675
Phone number:
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