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Individual

KUMARAPILLAI NARENDRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3712 22ND ST, LUBBOCK, TX 79410-1312
(806) 795-5561
(806) 793-9817
Mailing address
3712 22ND ST, LUBBOCK, TX 79410-1312
(806) 795-5561
(806) 793-9817

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
F3564
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0067BA
BLUE CROSS BLUE SHIELD
TX
05
148066702
TX
05
Y8385
NM
Enumeration date
09/22/2005
Last updated
05/19/2015
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