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General NPI Number Information
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NPI Number | 1902150683
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Entity Type | Organization
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Legal Business Name | DEVARAJ MUNIKRISHNAPPA PLLC
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Dates
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Enumeration Date | 11/02/2012
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Last Update Date | 04/22/2013
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Provider Practice Location Address
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Address Line | 11455 FALLBROOK DR SUITE 102
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City | HOUSTON
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State | TX
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Zip | 77065-4238
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Country | US
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Telephone | 713-598-3040
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Fax |
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Provider Business Mailing Address
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Address Line | 27619 GUTHRIE RIDGE LN
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City | KATY
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State | TX
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Zip | 77494-3329
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Country | US
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Telephone | 713-598-3040
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DEVARAJ MUNIKRISHNAPPA
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Credential | MD
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Telephone | 713-598-3040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | N2204
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License Number State | TX
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