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Individual
DR. ROSHNI A. VASAIWALA
Active
Individual
DR. ROSHNI A. VASAIWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036128553
IL
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
036128553
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01620861
BLUE CROSS BLUE SHEILD GRP ID NUMBER
IL
01
—
036128553
PHYSICIAN LICENSE
IL
05
—
036128553
—
IL
01
—
1083684922
GROUP NPI
IL
01
—
12324832
CAQH
IL
01
—
1699802421
OPTICAL NPI THE EYE SPECIALISTS CENTER
IL
01
—
205785
PTAN IL MEDICARE COOK COUNTY
IL
01
—
205786
PTAN IL MEDICARE DUPAGE COUNTY
IL
01
—
60180260001
DEMERC SUPPLIER PTAN
IL
01
—
CK7818
MEDICARE RAILROAD GRP PTAN
IL
Enumeration date
04/16/2008
Last updated
10/06/2021
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