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General NPI Number Information
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NPI Number | 1891907531
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Entity Type | Organization
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Legal Business Name | INFECTIOUS DISEASES & TRAVEL MEDICINE SPECIALIST PA
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 12025 LOUETTA RD STE B
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City | HOUSTON
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State | TX
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Zip | 77070-1149
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Country | US
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Telephone | 281-215-7888
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Fax | 281-251-4222
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Provider Business Mailing Address
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Address Line | 12025 LOUETTA RD STE B
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City | HOUSTON
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State | TX
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Zip | 77070-1149
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Country | US
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Telephone | 281-251-7888
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Fax | 281-251-4222
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Authorized Official
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Title or Position | OWNER
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Name | MR. RAJENDRA G PANDYA
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Credential | M.D
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Telephone | 281-251-7888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MDJ2723
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License Number State | TX
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