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General NPI Number Information
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NPI Number | 1104982636
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Entity Type | Individual
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Provider Name | KRISHNA KATHIR MD
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Gender | Male
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 130 E 77TH ST 9TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10021-1851
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Country | US
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Telephone | 212-434-2606
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Fax | 212-434-3139
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Provider Business Mailing Address
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Address Line | 150 E 84TH ST
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City | NEW YORK
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State | NY
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Zip | 10028-2031
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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 |
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | P47512
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License Number State | NY
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