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General NPI Number Information
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NPI Number | 1093322075
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Entity Type | Organization
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Legal Business Name | PARA-RAGHU, LLC
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Dates
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Enumeration Date | 09/24/2020
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Last Update Date | 09/24/2020
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Provider Practice Location Address
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Address Line | 2302 FANNIN ST STE 410
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City | HOUSTON
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State | TX
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Zip | 77002-9135
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Country | US
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Telephone | 832-538-1024
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Fax | 832-538-1023
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Provider Business Mailing Address
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Address Line | 5119 LOCUST ST
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City | BELLAIRE
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State | TX
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Zip | 77401-3320
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Country | US
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Telephone | 502-387-7297
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | ANGELO DUSHI PARAMESWARAN
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Credential | MD
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Telephone | 502-387-7297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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