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General NPI Number Information
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NPI Number | 1619278876
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Entity Type | Organization
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Legal Business Name | PADMINI BHADRIRAJU MD P.A.
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Dates
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Enumeration Date | 11/04/2010
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Last Update Date | 06/19/2021
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Provider Practice Location Address
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Address Line | 5215 S MCCOLL RD
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City | EDINBURG
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State | TX
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Zip | 78539
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Country | US
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Telephone | 956-631-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 S MCCOLL RD STE B #303
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City | MCALLEN
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State | TX
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Zip | 78503-1516
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Country | US
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Telephone | 956-815-1027
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Fax | 956-720-0839
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Authorized Official
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Title or Position | PRESIDENT
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Name | PADMINI BHADRIRAJU
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Credential | MD
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Telephone | 956-631-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | N3498
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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