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General NPI Number Information
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NPI Number | 1669486635
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Entity Type | Organization
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Legal Business Name | VRAJ, LTD
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 2315 E 93RD ST STE 237
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City | CHICAGO
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State | IL
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Zip | 60617-3919
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Country | US
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Telephone | 847-768-8925
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Fax |
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Provider Business Mailing Address
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Address Line | 10547 MISTY HILL RD
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City | ORLAND PARK
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State | IL
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Zip | 60462-7439
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Country | US
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Telephone | 219-852-0197
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Fax | 219-937-2195
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Authorized Official
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Title or Position | OWNER
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Name | NARESH K UPADHYAY
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Credential | MD
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Telephone | 219-852-0197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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