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General NPI Number Information
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NPI Number | 1932752623
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Entity Type | Individual
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Provider Name | SUKHMANI BOPARAI MD
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Gender | Female
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Dates
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Enumeration Date | 07/22/2019
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Last Update Date | 02/09/2025
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Provider Practice Location Address
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Address Line | INTERNAL MEDICINE 1501 KINGS HIGHWAY
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City | SHREVEPORT
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State | LA
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Zip | 71130-3932
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Country | US
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Telephone | 318-626-0436
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Fax |
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Provider Business Mailing Address
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Address Line | INTERNAL MEDICINE 1501 KINGS HIGHWAY
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City | SHREVEPORT
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State | LA
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Zip | 71130-3932
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Country | US
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Telephone | 318-626-0436
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Fax |
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 17033
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 17033
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License Number State | GA
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