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General NPI Number Information
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NPI Number | 1851596571
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Entity Type | Individual
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Provider Name | VANDANA KHUNGAR MD
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Gender | Female
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 11/05/2020
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Provider Practice Location Address
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Address Line | 333 CEDAR ST
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City | NEW HAVEN
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State | CT
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Zip | 06510-3206
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Country | US
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Telephone | 312-316-8415
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Fax |
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Provider Business Mailing Address
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Address Line | 333 CEDAR ST. YALE SCHOOL OF MEDICINE, DEPARTMENT OF MEDICINE
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City | NEW HAVEN
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State | CT
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Zip | 06510
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Country | US
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Telephone | 312-316-8415
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 66959
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD450053
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD450053
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207RT0003X
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Taxonomy Name | Transplant Hepatology Physician
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License Number | 66959
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 207RT0003X
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Taxonomy Name | Transplant Hepatology Physician
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License Number | MD450053
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 66959
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License Number State | CT
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