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General NPI Number Information
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NPI Number | 1407095821
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Entity Type | Organization
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Legal Business Name | PITRODA MEDICAL LLC
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Dates
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Enumeration Date | 02/09/2009
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 19 E SCHAUMBURG RD FL 2
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City | SCHAUMBURG
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State | IL
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Zip | 60194-3503
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Country | US
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Telephone | 224-353-6361
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Fax | 847-278-5398
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Provider Business Mailing Address
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Address Line | PO BOX 959134
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60195-9134
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Country | US
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Telephone | 224-353-6361
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Fax | 847-278-5398
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Authorized Official
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Title or Position | PHYSICIAN / OWNER
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Name | DR. PAROL PITRODA
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Credential | MD
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Telephone | 248-935-6690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036115162
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License Number State | IL
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