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General NPI Number Information
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NPI Number | 1477931053
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Entity Type | Individual
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Provider Name | KRISHNA CHAITANYA SAJJA M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/14/2015
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 134 VISION PARK BLVD STE 280
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City | SHENANDOAH
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State | TX
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Zip | 77384-3032
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Country | US
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Telephone | 281-205-1111
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Fax | 281-419-2111
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Provider Business Mailing Address
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Address Line | 134 VISION PARK BLVD STE 280
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City | SHENANDOAH
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State | TX
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Zip | 77384-3032
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Country | US
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Telephone | 281-978-4714
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Fax | 281-419-2111
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | R1634
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | R1634
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License Number State | TX
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