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S AVA MAHAPATRA MD A PROF CORPORATION NPI 1013223601


NPI Information

NPI: 1013223601
Provider Name: S AVA MAHAPATRA MD A PROF CORPORATION
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1180 N INDIAN CANYON DR
SUITE W-210
PALM SPRINGS, CA
ZIP 92262
Phone: (760) 323-2225
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S AVA MAHAPATRA MD A PROF CORPORATION is a specialist in Palm Springs, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. S AVA MAHAPATRA MD A PROF CORPORATION NPI is 1013223601. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1180 N INDIAN CANYON DR
SUITE W-210
PALM SPRINGS, CA
ZIP 92262-800
Phone: (760) 323-2225
Fax: (760) 323-1147

The provider's authorized official is Shakti Ava Mahapatra .
The authorized official title is President and has the following contact phone number (760) 323-2225.

The enumeration date for this NPI number is 8/20/2010 and was last updated on 8/20/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA37578CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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