Individual
HERIT VACHHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209
(904) 244-3092
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-1622
(215) 707-0943
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD462298
PA
207RG0100X
Gastroenterology Physician
Primary
TRN24170
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN24170
FL
Other
Enumeration date
04/14/2014
Last updated
10/18/2019
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