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NPI Code Detail

MEDICARE: VISHWAS VANAR MD

MEDICARE: VISHWAS VANAR MD
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
1207RG0100XGastroenterology PhysicianME135445FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013143189
Entity Type Code : Individual
Provider Name (Legal Business Name) : VISHWAS VANAR MD
Provider Business Mailing Address
First Line : 2000 FOWLER GROVE BLVD FL 3
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-5050
Country : US
Telephone Number : 407-303-1812
Fax Number : 407-303-1815
Provider Business Practice Location Address
First Line : 2000 FOWLER GROVE BLVD FL 3
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-5050
Country : US
Telephone Number : 407-303-1812
Fax Number : 407-303-1815
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2009
Last Update Date : 12/15/2019

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