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1730342247
SUNIL DAVID MADDIRALA
TRAVERSE CITY, MI
NPI
1730342247
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: VA 0101243809)
Enumeration Date
2008-07-03
Last Update Date
2008-07-03
Business Address
Mr. SUNIL DAVID MADDIRALA MD
4075 COPPER RIDGE DR
TRAVERSE CITY, MI 49684-7059
Phone number: 888-632-0544
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Mailing Address
Mr. SUNIL DAVID MADDIRALA MD
4936 VILLAGE CREST DRIVE #207
MIDLOTHIAN, VA 23112
Phone number: 804-245-7042
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