SUSEELA DORAVARI

FORT WAYNE, IN
NPI1538279856
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: IN  01041370)
Enumeration Date2006-08-30
Last Update Date2007-07-08
Business Address
-- SUSEELA DORAVARI MD
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Mailing Address
-- SUSEELA DORAVARI MD
10510 INDIAN RIDGE DR
FORT WAYNE, IN 46814-9090
Phone number: 260-426-5431
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