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General NPI Number Information
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NPI Number | 1326340282
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Entity Type | Organization
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Legal Business Name | INDERMOHAN S LUTHRA MD INC A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 11/29/2010
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Last Update Date | 11/29/2010
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Provider Practice Location Address
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Address Line | 35400 BOB HOPE DR STE 206
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-1772
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Country | US
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Telephone | 760-328-7500
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Fax | 760-328-0044
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Provider Business Mailing Address
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Address Line | 35400 BOB HOPE DR STE 206
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-1772
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Country | US
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Telephone | 760-328-7500
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Fax | 760-328-0044
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Authorized Official
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Title or Position | M.D.
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Name | DR. INDERMOHAN S LUTHRA
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Credential | M.D.
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Telephone | 760-328-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 00A505640
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License Number State | CA
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