Individual
DR. STEVEN R VIRATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACS
Contact information
Practice address
150 PROFESSIONAL CT STE A, LAFAYETTE, IN 47905-5153
(765) 573-8462
Mailing address
150 PROFESSIONAL CT STE A, LAFAYETTE, IN 47905-5153
(765) 573-8462
(765) 767-4818
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
01054616A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200347530
—
IN
Enumeration date
02/14/2006
Last updated
06/08/2021
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