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Individual
DR. VYAS NARESH DAKE
Active
Individual
DR. VYAS NARESH DAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BP10031137
TX
207Q00000X
Family Medicine Physician
MD2011-0207
NM
207Q00000X
Family Medicine Physician
Primary
ME152591
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932187044
GROUP NPI
NM
01
—
800521089
MEDICARE GROUP ID
NM
05
—
85001732
—
NM
01
—
Z2565
MEDICAID GROUP
NM
Enumeration date
02/05/2009
Last updated
08/05/2022
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