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Individual
VARUN MITROO
Active
Individual
VARUN MITROO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C52806
CA
2085R0202X
Diagnostic Radiology Physician
MD417151
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018615970001
—
PA
01
—
0186159703
AMERICHOICE
PA
01
—
132565
BLUE SHIELD PA
PA
01
—
2018747000
KEYSTONE HEALTHPLAN EAST
PA
01
—
2634635
AETNA
PA
Enumeration date
10/24/2006
Last updated
04/02/2013
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