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Individual
DR. USHA VISHVANATH DATE
Active
Individual
DR. USHA VISHVANATH DATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDICAL DOCTOR
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A33895
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A33895
MEDICAL LICENSE
CA
Enumeration date
09/15/2006
Last updated
06/13/2008
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