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General NPI Number Information
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NPI Number | 1245613827
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Entity Type | Individual
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Provider Name | SUBHENDU RATH MD
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Gender | Male
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Dates
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Enumeration Date | 07/01/2015
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 740 S LIMESTONE STE B101
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City | LEXINGTON
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State | KY
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Zip | 40536-5008
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Country | US
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Telephone | 859-323-5661
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Fax | 859-323-6411
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Provider Business Mailing Address
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Address Line | 1101 E MARSHALL ST, PO BOX 980599 VCU HEALTH DEPARTMENT OF NEUROLOGY
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City | RICHMOND
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State | VA
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Zip | 23298-5037
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Country | US
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Telephone | 706-296-7564
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Fax |
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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 | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | 59866
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 59866
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | 0101272056
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License Number State | VA
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