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1710144993
ISMAIL S PENUKONDA
GRAPEVINE, TX
NPI
1710144993
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA MD.204783)
Enumeration Date
2008-05-16
Last Update Date
2024-03-29
Business Address
Dr. ISMAIL S PENUKONDA MD
3213 BRIGHTON CV
GRAPEVINE, TX 76051-1101
Phone number: 737-786-5700
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Mailing Address
Dr. ISMAIL S PENUKONDA MD
3213 BRIGHTON CV
GRAPEVINE, TX 76051-1101
Phone number: 737-786-5700
Copy
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