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General NPI Number Information
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NPI Number | 1871540757
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Entity Type | Individual
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Provider Name | VEERANNA CHOUDARY MERLA MD
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Gender | Male
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 667 STONELEIGH AVE STE 117
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City | CARMEL
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State | NY
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Zip | 10512-2455
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Country | US
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Telephone | 845-279-5136
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Fax |
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Provider Business Mailing Address
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Address Line | 12 LIBERTY SQUARE MALL CARDIOLOGY CONSULTANTS OF ROCKLAND
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City | STONY POINT
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State | NY
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Zip | 10980-2400
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Country | US
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Telephone | 845-942-1001
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Fax | 845-942-1431
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25MA73016
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License Number State | NJ
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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 | 222194
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License Number State | NY
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