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Individual

ALNASIR P VIRJEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
401 REYNOLDS DR, KOKOMO, IN 46902-3726
(765) 453-0802
(765) 455-4258
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2890

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01044586
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200104490
IN
01
P01270960
RR MEDICARE
IN
Enumeration date
09/07/2005
Last updated
12/17/2018
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