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1710739651
ZACK KODIYATTU
WASHINGTON, DC
NPI
1710739651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-03
Last Update Date
2024-04-03
Business Address
Dr. ZACK KODIYATTU MD
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037-3201
Phone number: 202-741-3000
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Mailing Address
Dr. ZACK KODIYATTU MD
25 BROWN DR
CHURCHVILLE, PA 18966-1172
Phone number:
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