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General NPI Number Information
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NPI Number | 1447205729
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Entity Type | Individual
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Provider Name | AJAY K ISRANI MD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 1005 HARBORSIDE DR. FL 6
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City | GALVESTON
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State | TX
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Zip | 77555
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Country | US
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Telephone | 409-772-0750
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Fax | 409-772-5052
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Provider Business Mailing Address
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Address Line | 701 PARK AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55415-1623
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Country | US
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Telephone |
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 47677
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License Number State | MN
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