Individual
NATHAN P VAKHARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
824 A PETERSON MEMORIAL DR, NIAGARA, WI 54151-9246
(608) 843-6460
Mailing address
824 A PETERSON MEMORIAL DR, NIAGARA, WI 54151-9246
(608) 843-6460
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
59487-020
WI
207Q00000X
Family Medicine Physician
4301105329
MI
390200000X
Student in an Organized Health Care Education/Training Program
59487
WI
Other
Enumeration date
05/16/2011
Last updated
04/13/2015
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