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General NPI Number Information
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NPI Number | 1487376166
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Entity Type | Organization
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Legal Business Name | CHALLAPALLI CARDIOLOGY PC
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Dates
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Enumeration Date | 09/19/2022
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 5375 RENO CORPORATE DR
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City | RENO
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State | NV
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Zip | 89511-2381
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Country | US
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Telephone | 775-384-1134
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Fax |
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Provider Business Mailing Address
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Address Line | 4790 CAUGHLIN PKWY # 758
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City | RENO
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State | NV
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Zip | 89519-0907
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Country | US
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Telephone | 775-384-1134
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ROBIN SORAN
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Credential |
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Telephone | 650-722-3245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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