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General NPI Number Information
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NPI Number | 1972950335
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Entity Type | Individual
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Provider Name | SANTOSH KAGATHUR M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2016
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 3501 HEALTH CENTER BLVD STE 1119
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City | ESTERO
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State | FL
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Zip | 34135-8135
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Country | US
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Telephone | 239-343-9567
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Fax | 239-343-9571
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Provider Business Mailing Address
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Address Line | PO BOX 2147
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City | FORT MYERS
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State | FL
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Zip | 33902-2147
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Country | US
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Telephone | 393-439-5672
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Fax | 239-343-9571
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | ME169326
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME143730
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | ME169326
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License Number State | FL
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