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Individual

SARAVANAN VALLIAPPAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5495 S RAINBOW BLVD STE 101, LAS VEGAS, NV 89118-1872
(702) 477-0772
Mailing address
PO BOX 30077, SALT LAKE CITY, UT 84130-0077
(702) 477-0772

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
16477
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
263650
VRL
AZ
05
286234401
TX
01
515207
AHCCCS
AZ
01
8CT588
BCBS TX
TX
01
P00950241
RR MEDICARE
TX
Enumeration date
10/20/2005
Last updated
10/20/2017
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