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General NPI Number Information
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NPI Number | 1730600875
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Entity Type | Individual
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Provider Name | GAURAV RAJASHEKAR MD
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Gender | Male
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Dates
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Enumeration Date | 06/29/2017
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 220 ABRAHAM FLEXNER WAY FL 3
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City | LOUISVILLE
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State | KY
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Zip | 40202-3826
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Country | US
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Telephone | 502-587-4358
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 909
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City | LOUISVILLE
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State | KY
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Zip | 40201-0909
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Country | US
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Telephone | 502-587-4358
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 2020011731
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | BP10060419
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 57592
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License Number State | KY
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