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General NPI Number Information
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NPI Number | 1598143943
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Entity Type | Individual
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Provider Name | AADITYA NAGARAJ
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Gender | Male
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Dates
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Enumeration Date | 05/18/2015
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Last Update Date | 12/12/2023
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Provider Practice Location Address
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Address Line | ONE BAYLOR PLAZA, BCM 620 BAYLOR COLLEGE OF MEDICINE, ME
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City | HOUSTON
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State | TX
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Zip | 77030
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Country | US
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Telephone | 713-798-5588
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Fax |
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Provider Business Mailing Address
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Address Line | 2255 BRAESWOOD PARK DR APT 259
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City | HOUSTON
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State | TX
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Zip | 77030-4432
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Country | US
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Telephone | 214-693-0633
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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 | BP10052922
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | T1787
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License Number State | TX
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