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1699920991
VIKRAM REDDY PENUMALLI
GREENSBORO, NC
NPI
1699920991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084D0003X
(Licence: NC 2010-01353)
Enumeration Date
2008-12-01
Last Update Date
2021-09-20
Business Address
VIKRAM REDDY PENUMALLI MD
912 THIRD STREET SUITE 101
GREENSBORO, NC 27405-6967
Phone number: 336-273-2511
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Mailing Address
VIKRAM REDDY PENUMALLI MD
PO BOX 29568
GREENSBORO, NC 27429-9568
Phone number: 336-273-2511
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