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General NPI Number Information
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NPI Number | 1356577076
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Entity Type | Individual
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Provider Name | RAJA CHERUKURI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2009
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 18731 MILLHOLLOW
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4256
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Country | US
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Telephone | 210-383-1518
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Fax | 830-931-3508
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Provider Business Mailing Address
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Address Line | 18731 MILLHOLLOW
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4256
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Country | US
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Telephone | 210-383-1518
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Fax | 830-796-7744
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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 | N3556
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License Number State | TX
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N3556
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License Number State | TX
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