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General NPI Number Information
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NPI Number | 1750561569
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Entity Type | Individual
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Provider Name | SHYAMSUNDER BRINDAVAN SABAT M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 1600 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32610
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Country | US
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Telephone | 352-265-0296
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Fax | 352-265-0292
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Provider Business Mailing Address
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Address Line | PO BOX 100374
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City | GAINESVILLE
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State | FL
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Zip | 32610-0374
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Country | US
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Telephone | 352-265-0296
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Fax | 352-265-0292
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD435810
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License Number State | PA
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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 | 52927
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME136770
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 4301500347
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 4301500347
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 52927
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License Number State | KY
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Taxonomy #7
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | MD435810
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License Number State | PA
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Taxonomy #8
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | ME136770
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License Number State | FL
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