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General NPI Number Information
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NPI Number | 1073576005
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Entity Type | Individual
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Provider Name | SRIDHAR RAJAMANI M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 2400 S AVE A
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City | YUMA
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State | AZ
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Zip | 85364-7127
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Country | US
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Telephone | 928-317-9100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6935
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City | YUMA
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State | AZ
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Zip | 85366-6935
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Country | US
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Telephone | 928-317-9100
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 29371
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License Number State | AZ
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Taxonomy #2
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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 | D60693
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License Number State | MD
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Taxonomy #3
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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 | ME132789
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License Number State | FL
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Taxonomy #4
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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 | 36143759
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 29371
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | C53701
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | D60693
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License Number State | MD
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Taxonomy #8
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 108064
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License Number State | MT
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Taxonomy #9
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MD61113560
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License Number State | WA
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