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General NPI Number Information
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NPI Number | 1770092975
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Entity Type | Organization
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Legal Business Name | ASHISH UDHRAIN MD LLC
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Dates
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Enumeration Date | 09/20/2017
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Last Update Date | 09/20/2017
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Provider Practice Location Address
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Address Line | 3100 GALLERIA DR STE 302
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City | METAIRIE
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State | LA
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Zip | 70001-2196
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Country | US
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Telephone | 504-500-7481
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Fax | 504-475-9717
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Provider Business Mailing Address
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Address Line | 3100 GALLERIA DR STE 302
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City | METAIRIE
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State | LA
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Zip | 70001-2196
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Country | US
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Telephone | 504-500-7481
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Fax | 504-475-9717
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Authorized Official
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Title or Position | OWNER
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Name | DR. ASHISH UDHRAIN
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Credential | MD
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Telephone | 504-500-7481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD.202708
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License Number State | LA
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