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General NPI Number Information
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NPI Number | 1912435793
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Entity Type | Organization
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Legal Business Name | ANIL K CHUNDURI MD PA
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Dates
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Enumeration Date | 05/24/2017
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Last Update Date | 02/15/2024
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Provider Practice Location Address
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Address Line | 633 E FERNHURST DR STE 704
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City | KATY
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State | TX
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Zip | 77450-1587
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Country | US
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Telephone | 832-437-3854
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Fax |
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Provider Business Mailing Address
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Address Line | 633 E FERNHURST DR STE 704
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City | KATY
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State | TX
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Zip | 77450-1587
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Country | US
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Telephone | 832-437-3856
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | ANIL CHUNDURI
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Credential | MD
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Telephone | 832-437-3856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | N8285
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | N8285
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License Number State | TX
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