Individual
VISHNU V BEZWADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
2045 S 14TH AVE UNIT 11, YUMA, AZ 85364-6285
(617) 272-5589
Mailing address
2045 S 14TH AVE UNIT 11, YUMA, AZ 85364-6285
(617) 272-5589
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
219720
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2065240
—
MA
Enumeration date
10/19/2005
Last updated
02/10/2014
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