Individual
RIKHAV VASANWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1125 N COLLEGE AVE # SLOT100, FAYETTEVILLE, AR 72703-1908
(479) 713-8310
Mailing address
1125 N COLLEGE AVE # SLOT100, FAYETTEVILLE, AR 72703-1908
(479) 713-8310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036159513
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/13/2017
Last updated
07/14/2022
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