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Individual
DR. NEELAN S DOOLABH
Active
Individual
DR. NEELAN S DOOLABH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
K1185
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160211201
—
TX
05
—
160211202
—
TX
01
—
752616977039
TRICARE NORTHPARK LOCATION
TX
01
—
752616977107
TRICARE E LAKE STREET LOCATION
TX
01
—
752616977110
TRICARE MAPS LOCATION
TX
01
—
8AM683
BCBS
TX
01
—
8J5071
BCBS PROVIDER
TX
01
—
K1185
MEDICAL LICENSE
TX
Enumeration date
07/27/2006
Last updated
10/13/2014
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