Organization
VISHNU BEZWADA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VISHNU V BEZWADA MD (PRESIDENT)
(617) 272-5589
Entity
Organization
Contact information
Practice address
2400 S AVENUE A, YUMA, AZ 85364-7127
(617) 272-5589
Mailing address
PO BOX 6935, YUMA, AZ 85366-2545
(617) 272-5589
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38230
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2065240
—
MA
Enumeration date
02/05/2014
Last updated
02/05/2014
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