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Individual

DR. SASIKUMAR VISHWANATH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19896
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003815600
FL
05
103596
AL
01
110173224
RAILROADMEDICARE
AL
05
251015400
FL
01
51037033VIS
UNITED HEALTHCARE
AL
01
51037033VIS
BLUECROSS OF FLORIDA
FL
01
51524095
BLUCROSS OF ALABAMA
AL
01
P00410027
RAILROAD MEDICARE
AL
Enumeration date
09/21/2006
Last updated
11/04/2011
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