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NPI Code Detail

MEDICARE: DR. VIKAS MENGHANI M.D.

MEDICARE:  DR. VIKAS  MENGHANI  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0204XVascular & Interventional Radiology PhysicianTRN14614FL

General Provider Information

NPI Number : 1881909356
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VIKAS MENGHANI M.D.
Provider Business Mailing Address
First Line : 205 W BOUTZ RD
Second Line : BLDG 1
City : LAS CRUCES
State : NM
Zip : 88005-3259
Country : US
Telephone Number : 575-532-7000
Fax Number : 575-532-7025
Provider Business Practice Location Address
First Line : 600 NE 36TH ST
Second Line : #516
City : MIAMI
State : FL
Zip : 33137-3929
Country : US
Telephone Number : 415-374-3545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2010
Last Update Date : 08/04/2016

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