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Individual

VIKAS GULANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35-088321
OH
2085R0202X
Diagnostic Radiology Physician
Primary
4301078438
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000221403
UNISON
OH
01
000000503603
ANTHEM
OH
01
0304914
BCMH
OH
05
2590441
OH
01
363592
WELLCARE
OH
01
742690
BUCKEYE
OH
01
768772
AETNA
OH
01
P00358794
RAILROAD MEDICARE
OH
Enumeration date
09/15/2006
Last updated
08/22/2019
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