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General NPI Number Information
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NPI Number | 1689196347
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Entity Type | Individual
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Provider Name | SRUTHI KAPLIYIL SUBRAMANIAN MD
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Gender | Female
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Dates
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Enumeration Date | 07/13/2017
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 5656 KELLEY ST
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City | HOUSTON
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State | TX
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Zip | 77026-1967
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Country | US
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Telephone | 713-500-6500
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Fax | 713-500-6497
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Provider Business Mailing Address
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Address Line | 6431 FANNIN ST STE MSB 4156
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City | HOUSTON
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State | TX
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Zip | 77030-1501
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Country | US
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Telephone | 713-500-7375
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Fax | 713-500-7268
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | U5531
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License Number State | TX
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