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General NPI Number Information
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NPI Number | 1285845370
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Entity Type | Individual
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Provider Name | PRAMOD SANGHI MD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 06/19/2020
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Provider Practice Location Address
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Address Line | 437 W 125TH ST
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City | NEW YORK
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State | NY
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Zip | 10027-4201
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Country | US
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Telephone | 646-707-3930
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Fax |
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Provider Business Mailing Address
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Address Line | 10706 LIBERTY AVE
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City | OZONE PARK
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State | NY
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Zip | 11417-1813
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Country | US
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Telephone | 718-323-2229
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 430
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 264079
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 264079
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 4301089866
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License Number State | MI
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