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Individual
BIRENDRA KC
Active
Individual
BIRENDRA KC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2016-00813
NC
207RH0003X
Hematology & Oncology Physician
Primary
ME140216
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102868600
—
FL
01
—
IVC4K
FL BLUE
FL
01
—
LH202
MEDICARE
FL
Enumeration date
07/13/2007
Last updated
10/29/2019
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