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General NPI Number Information
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NPI Number | 1326930587
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Entity Type | Organization
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Legal Business Name | KSK 2025 GI LLC
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 18220 STATE HIGHWAY 249 STE 340
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City | HOUSTON
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State | TX
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Zip | 77070-4348
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Country | US
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Telephone | 219-628-3918
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Fax |
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Provider Business Mailing Address
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Address Line | 2162 SPRING STUEBNER RD STE 140-3098
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City | SPRING
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State | TX
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Zip | 77389-5298
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Country | US
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Telephone | 219-628-3918
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NAGA ADDEPALLY
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Credential | MD
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Telephone | 713-497-1143
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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