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Individual
DR. RICARDO VASQUEZ
Active
Individual
DR. RICARDO VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
01062063A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000517969
ANTHEM INDIVIDUAL
IN
01
—
200818170
MEDICAID GROUP
IN
01
—
200818170A
MEDICAID INDIVIDUAL
IN
01
—
250940
MEDICARE GROUP
IN
01
—
250940A
MEDICARE INDIVIDUAL
IN
01
—
517966
ANTHEM GROUP
IN
01
—
P00400660
MEDICARE RAILROAD INDIVIDUAL
IN
Enumeration date
05/04/2006
Last updated
12/10/2008
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