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General NPI Number Information
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NPI Number | 1164983557
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Entity Type | Individual
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Provider Name | GAYATHRI DEVI VADLAMUDI MD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2019
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Last Update Date | 04/10/2026
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Provider Practice Location Address
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Address Line | 5323 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75390-2608
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Country | US
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Telephone | 214-648-0221
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Fax |
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Provider Business Mailing Address
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Address Line | 3948 PALISADES BLVD
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City | YPSILANTI
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State | MI
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Zip | 48197-7468
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | U2029
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036177306
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 036177306
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License Number State | IL
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