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1790484301
HANISH POLAVARAPU
SYRACUSE, NY
NPI
1790484301
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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
2023-03-02
Last Update Date
2024-05-11
Business Address
Dr. HANISH POLAVARAPU MD
750 E ADAMS ST
SYRACUSE, NY 13210-1834
Phone number: 315-464-4470
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Mailing Address
Dr. HANISH POLAVARAPU MD
750 E ADAMS ST
SYRACUSE, NY 13210-1834
Phone number: 315-464-1800
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