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General NPI Number Information
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NPI Number | 1609057306
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Entity Type | Organization
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Legal Business Name | SURESH M. ROONGTA M.D.
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Dates
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Enumeration Date | 11/21/2007
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Last Update Date | 10/08/2008
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Provider Practice Location Address
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Address Line | 6624 FANNIN ST STE 1440
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City | HOUSTON
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State | TX
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Zip | 77030-2326
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Country | US
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Telephone | 713-791-9119
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Fax | 713-791-9199
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Provider Business Mailing Address
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Address Line | 6624 FANNIN ST STE 1440
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City | HOUSTON
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State | TX
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Zip | 77030-2326
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Country | US
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Telephone | 713-791-9119
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Fax | 713-791-9199
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. SURESH M ROONGTA
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Credential | M.D.
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Telephone | 713-791-9119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | F2426
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License Number State | TX
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