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NPI 1407920846

NPI 1407920846 : SAI RAMESH BIKKINA MD PC : LAPEER, MI

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General NPI Number Information
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    NPI Number           |    1407920846
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAI RAMESH BIKKINA MD PC 
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Dates
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    Enumeration Date     |    11/18/2006
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    Last Update Date     |    11/06/2007
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Provider Practice Location Address
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    Address Line         |    1057 SUNCREST DR SUITE B
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    City                 |    LAPEER
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    State                |    MI
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    Zip                  |    48446-4404
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    Country              |    US
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    Telephone            |    810-667-4994
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    Fax                  |    810-667-8041
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Provider Business Mailing Address
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    Address Line         |    1057 SUNCREST DR SUITE B
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    City                 |    LAPEER
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    State                |    MI
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    Zip                  |    48446-4404
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    Country              |    US
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    Telephone            |    810-667-4994
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    Fax                  |    810-667-8041
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Authorized Official
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    Title or Position    |    DOCTOR
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    Name                 |    DR. SAI RAMESH BIKKINA 
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    Credential           |    MD
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    Telephone            |    810-667-4994
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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       |    047380
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    License Number State |    MI
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