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Organization
VIRATA RETINA CENTER LLC
Active
Organization
VIRATA RETINA CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN R VIRATA MD (OWNER)
(765) 573-8462
Entity
Organization
Contact information
Practice address
150 PROFESSIONAL CT STE A, LAFAYETTE, IN 47905-5153
(765) 573-8462
Mailing address
150 PROFESSIONAL CT STE A, LAFAYETTE, IN 47905-5153
(765) 573-8462
(765) 767-4818
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
NULL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
10/21/2021
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