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Individual

ASHA DAYANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
732 N BROADWAY, ESCONDIDO, CA 92025-1870
(800) 290-5000
Mailing address
732 N BROADWAY, ESCONDIDO, CA 92025-1870
(800) 290-5000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301060766
MI
207R00000X
Internal Medicine Physician
Primary
C56025
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
339918410
MI
01
700H262220
BLUE CROSS-BLUE CROSS
01
AD060766
CHAMPUS-CHAMPUS
Enumeration date
08/24/2006
Last updated
11/29/2021
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