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General NPI Number Information
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NPI Number | 1871031112
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Entity Type | Organization
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Legal Business Name | NITIN MAHAJAN MD PA CORP
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Dates
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Enumeration Date | 02/07/2017
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 837 CYPRESS CREEK PKWY STE 105
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City | HOUSTON
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State | TX
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Zip | 77090-3422
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Country | US
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Telephone | 346-224-8138
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Fax |
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Provider Business Mailing Address
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Address Line | 6700 WOODLANDS PKWY STE 230-465
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City | THE WOODLANDS
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State | TX
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Zip | 77382-2575
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NITIN MAHAJAN
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Credential |
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Telephone | 859-539-3147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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