Poorna Prasad Reddy Mudusu

NPI #1619254836 in Coral Gables, Florida

Provider Information

NPI Number: 1619254836
Entity Type: Individual
Name: Poorna Prasad Reddy Mudusu
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 16, 2011
Last Updated: Nov 16, 2011

Practice Location

Address: 4200 SW 8TH ST
City: Coral Gables
State: Florida
ZIP Code: 33134-2619
Phone: (305) 444-2544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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