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Individual

DR. MAYA M VAZIRANI

Active
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Individual

DR. MAYA M VAZIRANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A33369
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
A33369
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A333690
CA
01
0101029195
PHYSICIAN &SURGEON
VA
01
953804947
TAX ID
01
A33369
PHYSICIAN & SURGEON LICEN
CA
01
N96036
BLUE CROSS OF CA MEDI-CAL
CA
Enumeration date
03/16/2006
Last updated
02/21/2012
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