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General NPI Number Information
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NPI Number | 1750547493
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Entity Type | Individual
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Provider Name | RAJIV KUMAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/01/2008
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 8701 BROADWAY
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City | MERRILLVILLE
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State | IN
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Zip | 46410-7035
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Country | US
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Telephone | 219-738-5565
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2001
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City | VALPARAISO
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State | IN
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Zip | 46384-2001
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 01067188A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 11014759A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 01067188A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | 01067188A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | 01067188A
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License Number State | IN
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