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General NPI Number Information
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NPI Number | 1689698359
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Entity Type | Individual
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Provider Name | SUNDARARAJ R CHERALA MD
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 304 W HAY ST STE 213
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City | DECATUR
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State | IL
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Zip | 62526-4169
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Country | US
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Telephone | 217-876-6640
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Fax | 217-876-6645
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Provider Business Mailing Address
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Address Line | 304 W HAY ST STE 213
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City | DECATUR
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State | IL
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Zip | 62526-4169
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Country | US
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Telephone | 217-876-6640
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Fax | 217-876-6645
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | ME143329
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 036077595
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License Number State | IL
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