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1659495489
BHAKTAVA T THUMMALA
NEW YORK, NY
NPI
1659495489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 145860)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
BHAKTAVA T THUMMALA
600 E 125TH ST WARDS ISLAND
NEW YORK, NY 10035
Phone number: 212-369-0500
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Mailing Address
BHAKTAVA T THUMMALA
4370 KISSENA BLVD APT 15H
FLUSHING, NY 11355-3733
Phone number:
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