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General NPI Number Information
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NPI Number | 1710800644
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Entity Type | Individual
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Provider Name | NAVEEN CHANDRA RAJ URS MBBS, DM (RADIOLOGY)
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Gender | Male
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Dates
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Enumeration Date | 07/30/2026
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Last Update Date | 07/30/2026
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Provider Practice Location Address
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Address Line | 400 HEALTH PARK BLVD
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City | ST AUGUSTINE
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State | FL
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Zip | 32086-5784
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Country | US
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Telephone | 904-819-5155
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Fax |
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Provider Business Mailing Address
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Address Line | 1771 THREE BARS RD
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City | KINDRED
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State | FL
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Zip | 34744-6842
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Country | US
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Telephone |
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | ME000000
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License Number State | FL
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