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General NPI Number Information
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NPI Number | 1538553433
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Entity Type | Individual
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Provider Name | PRANAY REDDY KORPOLE M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/27/2015
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 5920 W WILLIAM CANNON DR STE 150
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City | AUSTIN
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State | TX
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Zip | 78749-1902
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Country | US
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Telephone | 512-441-9799
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Fax |
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Provider Business Mailing Address
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Address Line | 37484 N LAUREL PARK DR
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City | LIVONIA
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State | MI
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Zip | 48152-3947
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Country | US
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Telephone | 775-313-7654
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 5315204924
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License Number State | MI
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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 | 4301117436
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | V9045
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License Number State | TX
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