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General NPI Number Information
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NPI Number | 1972705879
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Entity Type | Individual
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Provider Name | USHA RANI SURAPANENI M.D.,
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Gender | Female
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Dates
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Enumeration Date | 06/03/2007
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 3550 SWINGLE RD
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City | HOUSTON
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State | TX
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Zip | 77047-3763
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Country | US
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Telephone | 713-547-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 3701 KIRBY DR STE 600
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City | HOUSTON
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State | TX
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Zip | 77098-3926
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Country | US
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Telephone | 713-798-4491
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD00047274
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M7669
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License Number State | TX
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