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General NPI Number Information
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NPI Number | 1053413286
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Entity Type | Individual
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Provider Name | AMISH SURESHCHANDRA PUROHIT MD
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Gender | Male
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 161 E RIVULON BLVD STE 210
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City | GILBERT
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State | AZ
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Zip | 85297-0035
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Country | US
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Telephone | 480-494-2465
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Fax | 480-534-4087
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Provider Business Mailing Address
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Address Line | 161 E RIVULON BLVD STE 210
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City | GILBERT
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State | AZ
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Zip | 85297-0087
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Country | US
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Telephone | 480-494-2465
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Fax | 480-534-4087
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 78796
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MED-PHYS-139695
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 18052
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License Number State | ND
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 17209
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License Number State | NV
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 17093C
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License Number State | WY
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35816
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License Number State | AZ
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | EMC0001633
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License Number State | MI
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 42.0017921
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License Number State | VT
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Taxonomy #9
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | U8906
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License Number State | TX
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Taxonomy #10
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E-15169
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License Number State | AR
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Taxonomy #11
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | CDR.0001523
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License Number State | CO
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Taxonomy #12
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 98592
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License Number State | GA
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Taxonomy #13
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 295426
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License Number State | MA
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Taxonomy #14
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 36163072
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License Number State | IL
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