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General NPI Number Information
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NPI Number | 1336466150
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Entity Type | Organization
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Legal Business Name | PADMAJA AKKINENI MD PA
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Dates
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Enumeration Date | 05/04/2010
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Last Update Date | 06/30/2016
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Provider Practice Location Address
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Address Line | 5757 WARREN PKWY SUITE# 208
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City | FRISCO
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State | TX
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Zip | 75034-4274
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Country | US
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Telephone | 972-791-8225
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Fax | 972-767-3232
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Provider Business Mailing Address
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Address Line | 7612 MEMPHIS DR
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City | PLANO
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State | TX
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Zip | 75024-3988
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Country | US
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Telephone | 214-862-2978
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Fax | 972-767-3232
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Authorized Official
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Title or Position | EXECUTIVE MEMBER
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Name | PADMAJA AKKINENI
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Credential | M.D.
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Telephone | 972-791-8225
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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 | M1457
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License Number State | TX
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