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Individual

ROGER VITHALANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
200101622
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
130MV
BCBSNC
NC
05
89130MV
NC
Enumeration date
11/18/2005
Last updated
09/02/2016
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