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Individual
TRACY S ARGHAVANI
Active
Individual
TRACY S ARGHAVANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
03518
KY
207V00000X
Obstetrics & Gynecology Physician
Primary
036141030
IL
207V00000X
Obstetrics & Gynecology Physician
5101016123
MI
207V00000X
Obstetrics & Gynecology Physician
A-1465-08
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036141030
STATE LICENSE
IL
05
—
7100219480
—
KY
Enumeration date
05/22/2007
Last updated
10/19/2018
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