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General NPI Number Information
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NPI Number | 1235821943
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Entity Type | Organization
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Legal Business Name | VIRTUMED LLC
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 4001 W 15TH ST STE 435
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City | PLANO
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State | TX
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Zip | 75093-5845
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Country | US
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Telephone | 408-518-2712
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Fax | 630-566-8294
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Provider Business Mailing Address
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Address Line | 455 N CITYFRONT PLAZA DR STE 2515
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City | CHICAGO
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State | IL
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Zip | 60611-5323
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Country | US
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Telephone | 408-518-2712
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Fax | 630-566-8294
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Authorized Official
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Title or Position | OWNER
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Name | RIZWAN KHAN
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Credential |
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Telephone | 408-518-2712
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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 |
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License Number State |
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