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General NPI Number Information
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NPI Number | 1770513061
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Entity Type | Individual
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Provider Name | QASIM MASUD CHOUDRY MD
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Gender | Male
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 04/17/2023
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Provider Practice Location Address
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Address Line | 631 E GRAND AVE
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City | ESCONDIDO
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State | CA
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Zip | 92025-4402
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Country | US
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Telephone | 760-294-1660
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Fax | 760-745-5016
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Provider Business Mailing Address
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Address Line | 4225 EXECUTIVE SQ STE 450
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City | LA JOLLA
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State | CA
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Zip | 92037-8411
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Country | US
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Telephone | 858-810-8000
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Fax | 858-268-1911
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 38846
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 01062289A
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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 | 38846
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A69038
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License Number State | CA
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