Amaravadi & Amaravadi MD PA
Internal Medicine, Pulmonary Disease in Trinity, FL. Organization (NPI-2).
NPI number1790770360
StatusActive
Last updated in NPPESApr 20, 2008
Details
- NPI
- 1790770360
- Entity type
- Organization (NPI-2)
- Legal business name
- Amaravadi & Amaravadi MD PA
- Organization subpart
- No
- Enumeration date
- Sep 20, 2005
- Last updated
- Apr 20, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | – | – | Yes |
| 207RP1001X | Internal Medicine, Pulmonary Disease | 038311 | FL | |
| 207R00000X | Internal Medicine | – | – | |
| 208100000X | Physical Medicine & Rehabilitation | – | – |
Other names
- Amar & Amar MD PA (Former Legal Business Name)
Practice location
3535 Little RoadTrinity, FL 34655-1811
Phone 727-375-0848 · Fax 727-375-5548
Mailing address
3535 Little RoadTrinity, FL 34655-1811
Phone 727-375-0848 · Fax 727-375-5548
Authorized official
Sivakumar V Amaravadi
MD
7273750848
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