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General NPI Number Information
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NPI Number | 1497214761
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Entity Type | Individual
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Provider Name | NEILMEGH LAKSHMAN VARADA DO
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Gender | Male
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Dates
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Enumeration Date | 03/17/2019
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Last Update Date | 06/26/2024
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Provider Practice Location Address
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Address Line | MSC10 5550 1 UNIVERSITY OF NEW MEXICO
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City | ALBUQUERQUE
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State | NM
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Zip | 87131-2632
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Country | US
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Telephone | 505-272-4661
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Fax | 505-272-0475
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Provider Business Mailing Address
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Address Line | MSC10 5550 1 UNIVERSITY OF NEW MEXICO
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City | ALBUQUERQUE
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State | NM
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Zip | 87131-0001
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Country | US
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Telephone | 505-272-4661
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Fax | 505-272-0475
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | RS2024-0043
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License Number State | NM
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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 | DO3150
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 338022
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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