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General NPI Number Information
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NPI Number | 1104000629
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Entity Type | Individual
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Provider Name | RAJESH GOPAL SHENAVA M.D
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Gender | Male
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Dates
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Enumeration Date | 12/19/2007
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 1801 NORTH LOOP W SUITE 35
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City | HOUSTON
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State | TX
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Zip | 77008-1444
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Country | US
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Telephone | 713-869-3333
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Fax | 713-869-3338
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Provider Business Mailing Address
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Address Line | 7941 KATY FWY # 214
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City | HOUSTON
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State | TX
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Zip | 77024-1924
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Country | US
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Telephone | 713-868-3333
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Fax | 713-868-3338
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | N4091
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | N4091
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License Number State | TX
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