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A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] |
| NPI # | 1275581894 |
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| LBN Legal business name | IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP APC | ||||||||||||||||||||||||||||||||
| Authorized official | VACHASPATHI PALAKODETI - (PRESIDENT) | ||||||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||||||||||
| Enumeration date | 05/05/2006 | ||||||||||||||||||||||||||||||||
| Last updated | 10/29/2007 - About 19 years ago | ||||||||||||||||||||||||||||||||
| Identifiers |
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IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP APC
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IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP APC