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General NPI Number Information
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NPI Number | 1174436372
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Entity Type | Organization
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Legal Business Name | SKUS INTERESTS, LLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 9305 PINECROFT DR STE 303
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City | THE WOODLANDS
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State | TX
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Zip | 77380-3482
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Country | US
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Telephone | 936-441-1005
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Fax |
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Provider Business Mailing Address
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Address Line | 856 EAGLE POINTE
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City | MONTGOMERY
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State | TX
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Zip | 77316-6400
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Country | US
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Telephone | 936-441-1005
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. SAMIR SHIRODKAR
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Credential | MD
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Telephone | 936-441-1005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State | NULL
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