Pravir R Vatsa Md A Medical Corporation | |
775 Via Las Aguilas Arroyo Grande CA 93420-1953 | |
(805) 540-9046 | |
Not Available |
Full Name | Pravir R Vatsa Md A Medical Corporation |
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Speciality | Internal Medicine |
Location | 775 Via Las Aguilas, Arroyo Grande, California |
Authorized Official Name and Position | Pravir R Vatsa (PRESIDENT) |
Authorized Official Contact | 8055409046 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pravir R Vatsa Md A Medical Corporation Po Box 550 Pismo Beach CA 93448-0550 Ph: (805) 540-9046 | Pravir R Vatsa Md A Medical Corporation 775 Via Las Aguilas Arroyo Grande CA 93420-1953 Ph: (805) 540-9046 |
NPI Number | 1922409481 |
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Provider Enumeration Date | 09/15/2014 |
Last Update Date | 09/15/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922409481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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