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General NPI Number Information
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NPI Number | 1104417435
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Entity Type | Organization
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Legal Business Name | MDCH PARTNERS LLC
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Dates
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Enumeration Date | 01/29/2021
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Last Update Date | 01/29/2021
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Provider Practice Location Address
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Address Line | 5718 UNIVERSAL HTS BLVD STE 203A
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City | SAN ANTONIO
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State | TX
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Zip | 78249
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Country | US
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Telephone | 210-834-7649
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Fax | 833-422-0139
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Provider Business Mailing Address
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Address Line | 5718 UNIVERSAL HTS BLVD STE 203A
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City | SAN ANTONIO
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State | TX
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Zip | 78249
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Country | US
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Telephone | 210-834-7649
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Fax | 833-422-0139
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAVI KANTH REDDY YALAMURI
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Credential | MD
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Telephone | 210-834-7649
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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 |
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License Number State |
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