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General NPI Number Information
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NPI Number | 1164420741
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Entity Type | Individual
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Provider Name | SYED A AGHA MD
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Gender | Male
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 2292 CHAMBLISS AVE NW STE F
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City | CLEVELAND
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State | TN
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Zip | 37311-3862
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Country | US
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Telephone | 423-919-1577
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Fax |
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Provider Business Mailing Address
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Address Line | 2292 CHAMBLISS AVE NW STE F
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City | CLEVELAND
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State | TN
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Zip | 37311-3862
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Country | US
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Telephone | 423-919-1577
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | N2899
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 55598
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 59357
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | MD70050075
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License Number State | WA
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