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General NPI Number Information
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NPI Number | 1730397472
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Entity Type | Individual
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Provider Name | ANIT KAUSHIK MANKAD MD
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Gender | Male
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 1201 BROAD ROCK BLVD # 111-J
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City | RICHMOND
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State | VA
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Zip | 23249-5051
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Country | US
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Telephone | 804-675-5419
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Fax | 804-675-5420
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Provider Business Mailing Address
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Address Line | PO BOX 91734
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City | RICHMOND
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State | VA
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Zip | 23291-1734
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Country | US
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Telephone | 804-358-6100
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Fax | 804-342-7619
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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 | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | 0101244247
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License Number State | VA
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