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1497750046
PRASAD R. GUDAVALLI
BROOKLYN, NY
NPI
1497750046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 128146)
Enumeration Date
2005-06-20
Last Update Date
2012-11-05
Business Address
Dr. PRASAD R. GUDAVALLI MD
7702 - 16TH AVE
BROOKLYN, NY 11214-1002
Phone number: 718-645-2929
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Mailing Address
Dr. PRASAD R. GUDAVALLI MD
7702 - 16TH AVE
BROOKLYN, NY 11214-1002
Phone number: 718-645-2929
Copy
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