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General NPI Number Information
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NPI Number | 1629056460
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Entity Type | Individual
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Provider Name | PARTHASSARATHY CHETLUR RAGURAM MD,MRCPI,FASN
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Gender | Male
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Dates
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Enumeration Date | 01/03/2006
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 151 N SUNRISE AVE STE 1202
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City | ROSEVILLE
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State | CA
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Zip | 95661-2932
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Country | US
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Telephone | 916-789-1505
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Fax | 916-789-1513
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Provider Business Mailing Address
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Address Line | 151 N SUNRISE AVE STE 1202
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City | ROSEVILLE
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State | CA
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Zip | 95661-2932
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Country | US
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Telephone | 916-789-1505
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Fax | 916-789-1513
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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 | MD00046042
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MD00046042
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 35551
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MD22973
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License Number State | OR
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Taxonomy #5
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | C198750
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License Number State | CA
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