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1790742005
SUDHARAM IDUPUGANTI
BROOKLYN, NY
NPI
1790742005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 138851)
Enumeration Date
2006-04-28
Last Update Date
2011-09-30
Business Address
Dr. SUDHARAM IDUPUGANTI MD
585 BAY RIDGE PKWY
BROOKLYN, NY 11209-3309
Phone number: 718-921-1001
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Mailing Address
Dr. SUDHARAM IDUPUGANTI MD
585 BAY RIDGE PKWY
BROOKLYN, NY 11209-3309
Phone number: 718-921-1001
Copy
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