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General NPI Number Information
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NPI Number | 1992710040
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Entity Type | Individual
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Provider Name | SUKANYA BURUGU M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 09/22/2023
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Provider Practice Location Address
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Address Line | 4515 SETON CENTER PKWY STE 220
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City | AUSTIN
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State | TX
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Zip | 78759-5784
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Country | US
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Telephone | 512-338-8388
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Fax |
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Provider Business Mailing Address
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Address Line | 6210 E HWY 290
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City | AUSTIN
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State | TX
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Zip | 78723-1142
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Country | US
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Telephone | 512-988-5355
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Fax | 512-323-0307
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L7674
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License Number State | TX
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