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General NPI Number Information
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NPI Number | 1679925101
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Entity Type | Organization
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Legal Business Name | CENTER FOR INFECTIOUS DISEASES & IMMUNOLOGY, PA
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Dates
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Enumeration Date | 07/08/2016
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Last Update Date | 04/26/2022
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Provider Practice Location Address
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Address Line | 6560 FANNIN ST STE 1014
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City | HOUSTON
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State | TX
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Zip | 77030-2775
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Country | US
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Telephone | 713-485-0064
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Fax | 713-485-0685
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Provider Business Mailing Address
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Address Line | 6560 FANNIN ST STE 1014
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City | HOUSTON
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State | TX
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Zip | 77030-2775
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Country | US
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Telephone | 713-485-0064
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Fax | 713-485-0685
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Authorized Official
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Title or Position | PHYSICIAN
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Name | AMAR SAFDAR
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Credential | M.D.
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Telephone | 713-485-0064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | M2066
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License Number State | TX
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