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General NPI Number Information
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NPI Number | 1356723373
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Entity Type | Individual
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Provider Name | SAAD SULTAN GHUMMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/25/2015
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 1215 LEE ST
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22908
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Country | US
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Telephone | 434-924-9001
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Fax | 434-244-7581
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Provider Business Mailing Address
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Address Line | 4892 ISLAND RD APT N108
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City | BRISTOL
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State | TN
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Zip | 37620-1120
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Country | US
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Telephone |
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 0101275489
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 65059
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License Number State | TN
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Taxonomy #3
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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 | BP10052409
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License Number State | TX
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Taxonomy #4
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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 | 0116031224
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License Number State | VA
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