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Individual
VISHAL RAIZADA
Active
Individual
VISHAL RAIZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
220599
MA
207L00000X
Anesthesiology Physician
Primary
M7548
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191139803
—
TX
05
—
191139804
—
TX
01
—
8CH448
BLUE CROSS BLUE SHIELD
TX
01
—
P00843043
MEDICARE RAILROAD
TX
01
—
P00911624
RAILROAD MEDICARE
TX
Enumeration date
01/24/2007
Last updated
05/10/2011
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