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General NPI Number Information
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NPI Number | 1073142204
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Entity Type | Individual
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Provider Name | RAJA UMAIR ULLAH MD
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Gender | Male
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 4502 MEDICAL DR FL 2
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4402
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Country | US
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Telephone | 210-743-2900
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Fax | 210-702-6288
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Provider Business Mailing Address
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Address Line | 4502 MEDICAL DR FL 2
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4402
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Country | US
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Telephone | 210-743-2900
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Fax | 210-702-6288
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 36289
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | V7091
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License Number State | TX
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