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General NPI Number Information
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NPI Number | 1548447899
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Entity Type | Individual
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Provider Name | VISHNU S. BRAHMANDAM M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 1120 MEDICAL PLAZA DR STE 150
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City | SHENANDOAH
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State | TX
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Zip | 77380-3250
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Country | US
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Telephone | 713-897-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 1120 MEDICAL PLAZA DR STE 150
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City | SHENANDOAH
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State | TX
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Zip | 77380-3250
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Country | US
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Telephone |
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A102356
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | N7060
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License Number State | TX
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