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General NPI Number Information
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NPI Number | 1750885075
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Entity Type | Individual
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Provider Name | RATHNAVALI KATRAGADDA MD
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Gender | Female
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Dates
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Enumeration Date | 03/21/2018
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 400 ROSALIND REDFERN GROVER PKWY STE 271
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City | MIDLAND
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State | TX
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Zip | 79701-5857
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Country | US
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Telephone | 432-221-2700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5291
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City | MIDLAND
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State | TX
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Zip | 79704-5291
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Country | US
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Telephone | 432-221-4243
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Fax | 432-221-5981
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | U5729
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License Number State | TX
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