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General NPI Number Information
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NPI Number | 1902153299
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Entity Type | Individual
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Provider Name | SANDEEP KASHYAP MD
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Gender | Male
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Dates
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Enumeration Date | 08/06/2012
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Last Update Date | 04/15/2024
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Provider Practice Location Address
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Address Line | 3100 MACCORKLE AVE SE STE 101
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City | CHARLESTON
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State | WV
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Zip | 25304-1215
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Country | US
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Telephone | 304-388-5395
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Fax | 304-388-5398
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Provider Business Mailing Address
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Address Line | 400 ASSOCIATION DR STE 102
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City | CHARLESTON
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State | WV
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Zip | 25311-1298
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Country | US
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Telephone | 304-388-0151
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Fax | 304-388-1721
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 31603
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License Number State | WV
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