Nanavati, Vipul N

Nanavati, Vipul N is an individual health care provider with primary practice located at 3381 W Bavaria St , Eagle ID 83616-5341. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Nanavati, Vipul N can be contacted via phone (208) 639-4800.

Contact Information

Primary practice address
3381 W Bavaria St Eagle ID 83616-5341
Phone: (208) 639-4800
Fax: (208) 639-4801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X M-14885 Idaho
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X M-14885 Idaho

Profile Details

NPI number 1629074158
LBN Legal business name Nanavati, Vipul N
Credentials MD, BSME, CAQH
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Feb 25th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629074158 NPPES
Idaho MEDICAID 1629074158

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