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Individual

VIJAY AHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3331 W DEYOUNG ST, SUITE105, MARION, IL 62959-5896
(618) 997-9496
Mailing address
1618 S EUGENE LN, MARION, IL 62959-1554
(618) 558-5956

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35758
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036066669
IL
05
0443341
IA
01
207988
MED GRP NUMBER
IL
01
37216
BLUE CROSS BLUE SHIELD
IA
01
512435
IOWA HEALTH SOLUTIONS
IA
01
6132045
BCBS OF ILLINOIS
IL
01
CE9335
RR GRP NUMBER
IL
01
IA0140
JOHN DEERE HEALTH
IA
01
P00145519
RAILROAD MEDICARE
IA
01
P00440224
RR MED NUMBER
IL
Enumeration date
02/07/2006
Last updated
01/04/2013
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