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General NPI Number Information
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NPI Number | 1407503055
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Entity Type | Organization
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Legal Business Name | UJJALA MOOLANI, MD INC.
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Dates
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Enumeration Date | 03/03/2022
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Last Update Date | 09/06/2024
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Provider Practice Location Address
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Address Line | 855 THIRD AVE STE 3330
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City | CHULA VISTA
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State | CA
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Zip | 91911-1350
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Country | US
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Telephone | 619-745-1031
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Fax | 619-745-1032
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Provider Business Mailing Address
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Address Line | 855 THIRD AVE STE 3330
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City | CHULA VISTA
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State | CA
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Zip | 91911-1350
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Country | US
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Telephone | 619-745-1031
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Fax | 619-745-1032
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Authorized Official
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Title or Position | OWNER
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Name | UJJALA MOOLANI
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Credential | MD
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Telephone | 586-354-8816
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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