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General NPI Number Information
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NPI Number | 1588625735
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Entity Type | Individual
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Provider Name | SANKARARAO TAMTAM M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 1770 STATE HIGHWAY 46 W STE 1201
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City | NEW BRAUNFELS
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State | TX
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Zip | 78132-5393
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Country | US
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Telephone | 830-730-4125
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Fax | 830-312-7896
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Provider Business Mailing Address
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Address Line | 425 W COLONIAL DR STE 303
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City | ORLANDO
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State | FL
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Zip | 32804-6863
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Country | US
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Telephone | 830-730-5025
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Fax | 830-730-4207
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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 | K7628
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License Number State | TX
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