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General NPI Number Information
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NPI Number | 1790126753
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Entity Type | Individual
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Provider Name | YOUSUF KHAN GANDAPUR MD
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Gender | Male
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Dates
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Enumeration Date | 07/08/2013
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 4631 N CONGRESS AVE STE 202
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-3234
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Country | US
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Telephone | 561-753-0001
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Fax | 561-753-0005
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Provider Business Mailing Address
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Address Line | 1447 MEDICAL PARK BLVD STE 101
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City | WELLINGTON
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State | FL
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Zip | 33414-3164
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Country | US
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Telephone | 561-753-0001
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Fax | 561-753-0005
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D81297
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 311536
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | ME169735
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License Number State | FL
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