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1881638856
TIRUPATI GANAPATI RAJU
BROOKLYN, NY
NPI
1881638856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 209245)
Enumeration Date
2006-06-16
Last Update Date
2007-07-08
Business Address
-- TIRUPATI GANAPATI RAJU MD
7104 FORT HAMILTON PKWY
BROOKLYN, NY 11228-1106
Phone number: 718-748-1200
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Mailing Address
-- TIRUPATI GANAPATI RAJU MD
100 KENILWORTH AVE
STATEN ISLAND, NY 10312-1394
Phone number: 718-967-4692
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