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Individual
SHIWAJI DATTATRAY PAWAR
Active
Individual
SHIWAJI DATTATRAY PAWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301072268
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0990418
HEALTHPLUS COMMERCIAL
MI
01
—
1006816
MCLAREN HEALTH PLAN
MI
01
—
1014600
MCLAREN HEALTH PLAN
MI
05
—
1225074826
—
MI
01
—
200000021644
PHP
MI
01
—
3502900692
BCBSM
MI
05
—
4306770-10
—
MI
05
—
4711870-10
—
MI
Enumeration date
06/21/2006
Last updated
12/15/2021
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