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Individual

DR. ASHESH BHARATBHAI VYAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015175
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1679845853
MI
01
OE03625
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/02/2012
Last updated
08/19/2024
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