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NPI 1043293558

NPI 1043293558 : UMA AKKINENI M.D. : BOWLING GREEN, KY

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General NPI Number Information
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    NPI Number           |    1043293558
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    Entity Type          |    Individual 
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    Provider Name        |    UMA AKKINENI M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/29/2005
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    Last Update Date     |    06/01/2022
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Provider Practice Location Address
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    Address Line         |    250 PARK ST 
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    City                 |    BOWLING GREEN
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    State                |    KY
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    Zip                  |    42101-1760
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    Country              |    US
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    Telephone            |    270-796-6540
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    Fax                  |    270-796-6576
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Provider Business Mailing Address
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    Address Line         |    5213 S ALSTON AVE 
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    City                 |    DURHAM
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    State                |    NC
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    Zip                  |    27713-4430
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    Country              |    US
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    Telephone            |    252-535-8011
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    2008-01416
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    2008-01416
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    License Number State |    NC
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Taxonomy #3
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    036109684
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    License Number State |    IL
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Taxonomy #4
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    54565
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    License Number State |    KY
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