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1801526397
THEJA BHAMIDIPATI
PHILADELPHIA, PA
NPI
1801526397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-06-16
Last Update Date
2022-06-16
Business Address
THEJA BHAMIDIPATI DO
5501 OLD YORK RD
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-3930
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Mailing Address
THEJA BHAMIDIPATI DO
5501 OLD YORK RD
PHILADELPHIA, PA 19141-3018
Phone number:
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