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General NPI Number Information
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NPI Number | 1043623861
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Entity Type | Organization
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Legal Business Name | KRISHNAMURTHY UMAPATHY M D A MEDICAL CORPORATION
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Dates
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Enumeration Date | 06/09/2014
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Last Update Date | 06/09/2014
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Provider Practice Location Address
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Address Line | 2117 MONTESE CT
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City | DUBLIN
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State | CA
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Zip | 94568-2202
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Country | US
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Telephone | 503-758-3780
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Fax |
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Provider Business Mailing Address
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Address Line | 2117 MONTESE CT
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City | DUBLIN
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State | CA
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Zip | 94568-2202
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Country | US
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Telephone | 503-758-3780
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISHNAMURTHY UMAPATHY
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Credential | M.D.
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Telephone | 503-758-3780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | A113119
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License Number State | CA
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