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NPI 1477535680

NPI 1477535680 : RAHUL ARVIND SOMVANSHI MD : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1477535680
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    Entity Type          |    Individual 
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    Provider Name        |    RAHUL ARVIND SOMVANSHI MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/15/2005
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    Last Update Date     |    11/21/2024
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Provider Practice Location Address
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    Address Line         |    2825 OAK LAWN AVE UNIT 192749 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75219-4688
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    Country              |    US
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    Telephone            |    844-389-5711
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    Fax                  |    877-880-2039
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Provider Business Mailing Address
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    Address Line         |    2825 OAK LAWN AVE UNIT 192749 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75219-4688
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    Country              |    US
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    Telephone            |    844-389-5711
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    Fax                  |    877-880-2039
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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        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    2017-00850
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    R0330
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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       |    MD11717
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    License Number State |    RI
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