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General NPI Number Information
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NPI Number | 1366658627
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Entity Type | Individual
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Provider Name | NISHANT SINGH RANAWAT MD
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Gender | Male
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 04/28/2023
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Provider Practice Location Address
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Address Line | 9180 PINECROFT DR STE 500
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City | SHENANDOAH
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State | TX
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Zip | 77380-3883
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Country | US
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Telephone | 713-897-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 1553 DEVONSHIRE PL
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City | MEDFORD
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State | OR
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Zip | 97504-7201
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Country | US
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Telephone | 216-396-7455
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | MD192398
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | MD192398
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License Number State | OR
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