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General NPI Number Information
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NPI Number | 1386890036
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Entity Type | Individual
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Provider Name | ADITYA VENKATARAMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 1500 CITYWEST BLVD STE. 300
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City | HOUSTON
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State | TX
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Zip | 77042-2300
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Country | US
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Telephone | 713-620-4000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 840853
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City | DALLAS
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State | TX
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Zip | 75284-0865
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Country | US
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Telephone | 972-715-5000
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Fax | 972-233-3666
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 2008016308
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | P3476
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | P3476
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 66593
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License Number State | CT
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