Dr. Amita Vyomesh Adhvaryu, MD
Family Medicine in Covington, LA. Individual provider (NPI-1).
NPI number1619994605
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619994605
- Entity type
- Individual (NPI-1)
- Name
- Dr. Amita Vyomesh Adhvaryu
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD10990 | HI | Yes |
Practice location
1202 S Tyler StCovington, LA 70433-2330
Phone 985-898-4438
Mailing address
4500 Post RdEast Greenwich, RI 02818-4124
Phone 401-419-6887
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