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Individual
DR. ARTHUR I DAVIDA
Active
Individual
DR. ARTHUR I DAVIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036070839
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036070839
—
IL
01
—
0585994
AETNA HMO
IL
01
—
080097634
RAILROAD MEDICARE
IL
01
—
14D0415194
CLIA
IL
01
—
1821374570
GROUP NPI
IL
01
—
278579100
US DEPT OF LABOR
IL
01
—
31602572
IL BLUESHIELD ID
IL
01
—
40642891
AETNA NON HMO
IL
01
—
775782
UNITEDHEALTHCARE
IL
Enumeration date
09/15/2005
Last updated
03/26/2012
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