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General NPI Number Information
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NPI Number | 1346847548
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Entity Type | Organization
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Legal Business Name | RAVI K AGGUSHER MD INC
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Dates
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Enumeration Date | 10/01/2020
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Last Update Date | 10/01/2020
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Provider Practice Location Address
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Address Line | 2425 SAMARITAN DR
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City | SAN JOSE
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State | CA
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Zip | 95124-3908
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Country | US
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Telephone | 408-559-2011
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Fax |
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Provider Business Mailing Address
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Address Line | 758 COVINA WAY
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City | FREMONT
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State | CA
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Zip | 94539-7406
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Country | US
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Telephone | 314-956-6440
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. RAVI KUMAR AGGU SHER
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Credential | MD
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Telephone | 314-956-6440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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