Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 35-079371 | OH |
NPI | 1124046230 |
---|---|
Provider Name | Pauravi S Vasavada |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44106-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 16/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000204723 | UNISON (01) | OH |
000000503629 | ANTHEM (01) | OH |
0017569110005 | (05) | PA |
0304914 | BCMH (01) | OH |
1124046230 | MI MEDICAID (01) | MI |
204723 | UNISON (01) | OH |
2278799 | (05) | OH |
364094 | WELLCARE (01) | OH |
3810011781 | WV MEDICAID (01) | WV |
728336 | BUCKEYE (01) | OH |
7799220 | AETNA (01) | OH |
H00022 | (02) | |
P00675402 | RAILROAD MEDICARE (01) | OH |
Q79371 | (05) | SC |