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General NPI Number Information
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NPI Number | 1609364710
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Entity Type | Individual
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Provider Name | SHRUTI RAO
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Gender | Female
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Dates
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Enumeration Date | 04/24/2018
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 12121 RICHMOND AVE STE 314
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City | HOUSTON
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State | TX
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Zip | 77082-2437
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Country | US
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Telephone | 281-531-8013
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Fax | 281-929-0276
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Provider Business Mailing Address
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Address Line | 18450 HIGHWAY 59 N
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City | HUMBLE
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State | TX
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Zip | 77338-4404
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Country | US
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Telephone | 281-446-6656
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Fax | 281-446-6657
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | W0272
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License Number State | TX
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