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1629138516
BAPANAIAH PENUGONDA
GRAND FORKS, ND
NPI
1629138516
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: ND 6646)
Enumeration Date
2006-12-11
Last Update Date
2016-07-01
Business Address
BAPANAIAH PENUGONDA MD
1200 S COLUMBIA RD
GRAND FORKS, ND 58201-4036
Phone number: 701-780-5000
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Mailing Address
BAPANAIAH PENUGONDA MD
PO BOX 6002
GRAND FORKS, ND 58206-6002
Phone number: 701-780-5000
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