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Individual
DR. VERA KHASILEVA
Active
Individual
DR. VERA KHASILEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.05
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
VK068541
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110247579
MEDICARE RAILROAD
MI
05
—
4596642
—
MI
01
—
700H219330
BCBSM
MI
01
—
7358063
AETNA
MI
01
—
VK068541
STATE LICENSE
MI
Enumeration date
01/24/2006
Last updated
04/18/2013
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