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General NPI Number Information
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NPI Number | 1619528460
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Entity Type | Organization
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Legal Business Name | INDUS CARDIOLOGY, INC A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 09/24/2019
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Last Update Date | 05/09/2020
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Provider Practice Location Address
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Address Line | 2740 N GAREY AVE STE 100
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City | POMONA
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State | CA
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Zip | 91767-1800
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Country | US
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Telephone | 909-623-2300
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Fax | 909-469-2472
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Provider Business Mailing Address
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Address Line | 2740 N GAREY AVE STE 100
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City | POMONA
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State | CA
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Zip | 91767-1800
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Country | US
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Telephone | 909-623-2300
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Fax | 909-469-2472
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AMIT REENU PALIWAL
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Credential | MD
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Telephone | 909-623-2300
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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 |
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License Number State |
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