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Individual

BIN NI

Active
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Individual

BIN NI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PHD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57.027753
OH
207R00000X
Internal Medicine Physician
W0685
TX
207RI0200X
Infectious Disease Physician
Primary
W0685
TX

Other

Enumeration date
03/27/2016
Last updated
02/23/2026
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