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General NPI Number Information
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NPI Number | 1417235714
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Entity Type | Individual
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Provider Name | DINESH KUMAR SUNDARAKUMAR MD
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Gender | Male
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Dates
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Enumeration Date | 08/03/2011
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 7019 W VILLAGE BLVD STE 104
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City | LARDO
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State | TX
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Zip | 78041-2223
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Country | US
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Telephone | 102-755-8692
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Fax |
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Provider Business Mailing Address
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Address Line | 7019 W VILLAGE BLVD STE 104
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City | LAREDO
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State | TX
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Zip | 78041-2223
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Country | US
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Telephone | 102-755-8692
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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 | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | Q6473
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | Q6473
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | Q6473
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License Number State | TX
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