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General NPI Number Information
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NPI Number | 1760922132
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Entity Type | Organization
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Legal Business Name | USHA R PINNINTI MD PLLC
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Dates
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Enumeration Date | 03/03/2017
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Last Update Date | 09/12/2018
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Provider Practice Location Address
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Address Line | 1213 HERMANN DR STE 120
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City | HOUSTON
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State | TX
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Zip | 77004-7008
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Country | US
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Telephone | 832-413-3684
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Fax | 830-212-6084
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Provider Business Mailing Address
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Address Line | 1213 HERMANN DR STE 120
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City | HOUSTON
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State | TX
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Zip | 77004-7008
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Country | US
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Telephone | 832-413-3684
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Fax | 830-212-6084
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Authorized Official
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Title or Position | MD
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Name | USHA R PINNINTI
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Credential | MD
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Telephone | 832-413-3684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | N6964
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | N6964
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License Number State | TX
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