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General NPI Number Information
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NPI Number | 1235525684
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Entity Type | Organization
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Legal Business Name | RATNAJA KATNENI MD INC
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Dates
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Enumeration Date | 04/13/2015
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | 20241 SW BIRCH ST STE 104
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-1784
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Country | US
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Telephone | 949-490-4044
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Fax | 657-218-4161
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Provider Business Mailing Address
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Address Line | PO BOX 1584
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City | NEWPORT BEACH
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State | CA
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Zip | 92659-0584
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Country | US
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Telephone | 657-218-4082
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Fax | 657-218-4161
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. RATNAJA KATNENI
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Credential | MD
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Telephone | 657-218-4082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | C134129
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License Number State | CA
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