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General NPI Number Information
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NPI Number | 1346235264
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Entity Type | Individual
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Provider Name | ANAND S VEERABAHU M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/16/2005
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 4201 W MEDICAL CENTER DR
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City | MCHENRY
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State | IL
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Zip | 60050-8409
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Country | US
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Telephone | 815-759-4323
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Fax | 815-759-4948
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Provider Business Mailing Address
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Address Line | 1600 E BROADWAY
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City | COLUMBIA
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State | MO
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Zip | 65201-5844
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Country | US
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Telephone | 573-815-8000
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Fax | 573-815-8556
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036-105435
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 64714
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036105435
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 64714
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License Number State | MN
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Taxonomy #5
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2018016848
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License Number State | MO
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Taxonomy #6
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 19579
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License Number State | NV
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Taxonomy #7
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 01084226A
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License Number State | IN
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Taxonomy #8
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036105435
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License Number State | IL
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Taxonomy #9
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 19579
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License Number State | NV
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Taxonomy #10
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2018016848
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License Number State | MO
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