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NPI 1043950405

NPI 1043950405 : VENKAT BHARADWAJ MERUVA DO : HUMBLE, TX

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General NPI Number Information
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    NPI Number           |    1043950405
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    Entity Type          |    Individual 
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    Provider Name        |    VENKAT BHARADWAJ MERUVA DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/31/2022
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    Last Update Date     |    12/15/2025
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Provider Practice Location Address
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    Address Line         |    18951 N MEMORIAL DR STE 103W 
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    City                 |    HUMBLE
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    State                |    TX
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    Zip                  |    77338-4217
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    Country              |    US
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    Telephone            |    281-540-7700
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    920 FROSTWOOD DR STE 2.300 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77024-2314
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    Country              |    US
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    Telephone            |    
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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        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    V9368
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    V9368
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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