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General NPI Number Information
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NPI Number | 1700146750
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Entity Type | Individual
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Provider Name | DIVYA CHIRUMAMILLA M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/24/2012
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 9180 PINECROFT DR STE 500
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City | SHENANDOAH
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State | TX
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Zip | 77380-3883
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Country | US
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Telephone | 713-897-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 909 FROSTWOOD DR STE 1.100
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City | HOUSTON
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State | TX
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Zip | 77024-2301
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Country | US
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Telephone | 713-338-6353
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Fax |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 253750
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | Q3653
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 253750
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | Q3653
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License Number State | TX
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