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Individual

ARVIND NAGESHWARA VIJAYA DASARI

Active
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Individual

ARVIND NAGESHWARA VIJAYA DASARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT186584
PA
207RH0003X
Hematology & Oncology Physician
Primary
P0718
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287263201
—
TX
01
—
8DC008
BCBS
TX
01
—
P01037375
RR MEDICARE
TX
Enumeration date
04/02/2008
Last updated
06/20/2024
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