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Individual

VIRAJ MANIAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
400 W 84TH DR, MERRILLVILLE, IN 46410-6248
(219) 769-8641
(219) 769-2280
Mailing address
400 W 84TH DR, MERRILLVILLE, IN 46410-6248
(219) 276-9186

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01094296A
IN
208800000X
Urology Physician
71170
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1669905063
WI
05
300093536
IN
Enumeration date
04/04/2017
Last updated
08/08/2024
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