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General NPI Number Information
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NPI Number | 1477048460
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Entity Type | Individual
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Provider Name | VANI LAKSHMI MULKAREDDY MD
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Gender | Female
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Dates
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Enumeration Date | 06/22/2018
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 1425 PORTLAND AVE
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City | ROCHESTER
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State | NY
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Zip | 14621-3095
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Country | US
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Telephone | 585-922-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 210 S 12TH ST APT 3B
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City | PHILADELPHIA
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State | PA
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Zip | 19107-6340
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Country | US
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Telephone | 408-667-4882
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | MD490470
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MD490470
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License Number State | PA
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