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Individual
MR. VIRENDRA M GAIDHANE
Active
Individual
MR. VIRENDRA M GAIDHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501007342
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0208573
UNITED HEALTHCARE INS CO
GA
01
—
71020000E01582
BLUE CROSS BLUE SHIELD
MI
Enumeration date
11/13/2006
Last updated
07/08/2007
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