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General NPI Number Information
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NPI Number | 1952656878
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Entity Type | Individual
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Provider Name | CHANDRA KIRAN REDNAM M.D
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Gender | Male
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Dates
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Enumeration Date | 07/17/2012
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 10 JEFFERSON PLZ STE 100
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City | PRINCETON
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State | NJ
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Zip | 08540-9502
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Country | US
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Telephone | 732-274-1274
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Fax |
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Provider Business Mailing Address
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Address Line | 401 ROUTE 73 N BLDG 10, SUITE 320
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City | MARLTON
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State | NJ
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Zip | 08053
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Country | US
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Telephone | 856-872-7055
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD225888
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25IA12549100
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License Number State | NJ
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