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Individual
TAL DO
Active
Individual
TAL DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-47192
KS
207R00000X
Internal Medicine Physician
Primary
A193370
CA
207R00000X
Internal Medicine Physician
U3198
TX
208M00000X
Hospitalist Physician
04-47192
KS
208M00000X
Hospitalist Physician
333877
LA
208M00000X
Hospitalist Physician
A193370
CA
208M00000X
Hospitalist Physician
U3198
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2019
Last updated
06/11/2025
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