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General NPI Number Information
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NPI Number | 1174660831
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Entity Type | Organization
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Legal Business Name | KUDDYTHAMBY SINNATHAMBY, MD.,INC
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 10/29/2012
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Provider Practice Location Address
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Address Line | 5538 PHILADELPHIA DR
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City | DAYTON
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State | OH
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Zip | 45415-3062
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Country | US
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Telephone | 937-278-3625
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Fax | 937-278-3431
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Provider Business Mailing Address
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Address Line | 5538 PHILADELPHIA DR
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City | DAYTON
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State | OH
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Zip | 45415-3062
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Country | US
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Telephone | 937-278-3625
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Fax | 937-278-3431
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KITREN B SINNATHAMBY
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Credential | M.D.
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Telephone | 937-278-3625
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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 | 35032806
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35072640
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License Number State | OH
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