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General NPI Number Information
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NPI Number | 1841672540
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Entity Type | Individual
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Provider Name | FARID RADMANESH M.D., M.P.H.
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Gender | Male
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Dates
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Enumeration Date | 06/18/2015
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 6400 FANNIN ST STE 2800
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City | HOUSTON
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State | TX
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Zip | 77030-1534
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Country | US
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Telephone | 713-486-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 6400 FANNIN ST STE 2070
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City | HOUSTON
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State | TX
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Zip | 77030-1541
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Country | US
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Telephone | 713-500-3500
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Fax |
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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 | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number | 278062
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number | MD2020-0967
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD2020-0967
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number | V1590
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License Number State | TX
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