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General NPI Number Information
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NPI Number | 1215153879
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Entity Type | Individual
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Provider Name | ANU KELUR MARIYAPPA M.D
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Gender | Female
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 129 VISION PARK BLVD STE 205
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City | SHENANDOAH
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State | TX
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Zip | 77384-3024
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Country | US
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Telephone | 281-825-3344
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Fax | 281-825-3340
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Provider Business Mailing Address
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Address Line | 129 VISION PARK BLVD STE 205
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City | SHENANDOAH
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State | TX
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Zip | 77384-3024
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Country | US
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Telephone | 281-825-3344
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Fax | 281-825-3340
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | R0278
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License Number State | TX
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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 | 036136161
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 42592
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036136161
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License Number State | IL
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