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General NPI Number Information
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NPI Number | 1336942028
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Entity Type | Individual
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Provider Name | RAMADITYA SRINIVASMURTHY DO
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Gender | Male
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Dates
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Enumeration Date | 03/29/2025
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Last Update Date | 03/29/2025
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Provider Practice Location Address
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Address Line | 419 W 114TH ST
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City | NEW YORK
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State | NY
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Zip | 10025-1710
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Country | US
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Telephone | 212-523-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 37949 PARKMONT DR
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City | FREMONT
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State | CA
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Zip | 94536-5237
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Country | US
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Telephone | 510-509-5694
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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