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General NPI Number Information
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NPI Number | 1093555047
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Entity Type | Organization
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Legal Business Name | DEEPALI TUKAYE
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Dates
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Enumeration Date | 05/28/2024
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 2555 GULF FWY S STE 500
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City | LEAGUE CITY
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State | TX
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Zip | 77573-6742
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Country | US
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Telephone | 832-400-2777
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Fax |
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Provider Business Mailing Address
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Address Line | 1411 PALMETTO DR
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City | LEAGUE CITY
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State | TX
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Zip | 77573-3043
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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 | OWNER
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Name | DR. DEEPALI TUKAYE
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Credential |
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Telephone | 410-961-4914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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