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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. VIPUL N NANAVATI, MD, BSME, CAQH

Active

DR. VIPUL N NANAVATI, MD, BSME, CAQH is a Orthopaedic Surgery healthcare provider located in EAGLE, Idaho. NPI 1629074158 is currently active in the NPPES registry. Verify at CMS.

Orthopaedic Surgery · EAGLE, ID

Registration Details

NPI Number
1629074158
Provider Type
Individual
Gender
Male
NPI Issued
Jun 21, 2005 (21.157094124816 yrs)
Last Updated
Feb 25, 2022
Licenses
M-14885 (ID)
M-14885 (ID)

Practice Information

Address
3381 W BAVARIA ST
EAGLE, ID, 836165341
Browse ID providers · Browse ZIP 83616
Phone
2086394800
Fax
2086394801
Primary Specialty
Orthopaedic Surgery
207X00000X
Additional Specialty
Orthopaedic Surgery

Other Orthopaedic Surgery Providers in EAGLE, ID

Name Credential NPI
DR. CARL SCOTT HUMPHREY MD 1811978778
DR. JOSEPH GORDON DAINES M.D. 1558310318
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.