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General NPI Number Information
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NPI Number | 1457410615
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Entity Type | Individual
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Provider Name | BATHINAIAH RAJU VORAKKARA MD
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Gender | Male
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 4466 W BRISTOL RD FL 2
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City | FLINT
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State | MI
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Zip | 48507-3170
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Country | US
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Telephone | 810-250-4866
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Fax | 810-250-4867
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Provider Business Mailing Address
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Address Line | 4466 W BRISTOL RD FL 2
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City | FLINT
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State | MI
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Zip | 48507-3170
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Country | US
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Telephone | 810-250-4866
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Fax | 810-250-4867
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 4301091989
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 4301091989
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License Number State | MI
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