Individual
VASANTHA S HATHWAR
Active
Individual
VASANTHA S HATHWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101232454
VA
207RP1001X
Pulmonary Disease Physician
Primary
0101232454
VA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
0101232454
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290000288
MEDICARE PTAN BEFORE 2009
VA
01
—
436738
BCBS
VA
01
—
53891
OPTIMA
VA
05
—
586904B
—
VA
Enumeration date
09/22/2006
Last updated
01/06/2012
Update your record
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