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General NPI Number Information
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NPI Number | 1508235722
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Entity Type | Organization
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Legal Business Name | KATTA DERMATOLOGY PA
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Dates
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Enumeration Date | 09/17/2015
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Last Update Date | 09/17/2015
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Provider Practice Location Address
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Address Line | 6909 GREENBRIAR ST
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City | HOUSTON
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State | TX
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Zip | 77030-3205
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Country | US
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Telephone | 832-899-5330
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Fax | 832-810-0072
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Provider Business Mailing Address
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Address Line | 6909 GREENBRIAR ST
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City | HOUSTON
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State | TX
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Zip | 77030-3205
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Country | US
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Telephone | 832-899-5330
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Fax | 832-810-0072
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | RAJANI KATTA
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Credential | MD
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Telephone | 832-899-5330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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