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General NPI Number Information
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NPI Number | 1407223902
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Entity Type | Individual
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Provider Name | VISHWANATH SATHYANARAYANAN MD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2015
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Last Update Date | 08/31/2015
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Provider Practice Location Address
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Address Line | 1515 HOLCOMBE BLVD DEPARTMENT OF LYMHOMA MAIN BUILDING, FLOOR 6
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City | HOUSTON
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State | TX
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Zip | 77030-4000
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Country | US
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Telephone | 713-792-3510
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Fax |
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Provider Business Mailing Address
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Address Line | 7777 GREENBRIAR ST 3087
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City | HOUSTON
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State | TX
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Zip | 77030-4525
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Country | US
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Telephone | 346-221-6884
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | BP10052536
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License Number State | TX
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