Individual
HARSHAL SUNIL BROKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
M3932
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193053901
—
TX
01
—
193053904
OUT OF COUNTY CSHCN
TX
01
—
P00643336
RAIL ROAD MEDICARE
TX
Enumeration date
06/13/2007
Last updated
05/31/2013
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