Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 0101265180 | VA |
N | 207Q00000X | Family Doctor | 080351 | GA |
N | 207Q00000X | Family Doctor | 2018-01263 | NC |
N | 207Q00000X | Family Doctor | 35.132974 | OH |
N | 207Q00000X | Family Doctor | 51900 | SC |
N | 207Q00000X | Family Doctor | C1-0007595 | DE |
N | 207Q00000X | Family Doctor | MD045867 | DC |
Y | 207Q00000X | Family Doctor | MD425395 | PA |
N | 207Q00000X | Family Doctor | ME90097 | FL |
NPI | 1003862665 |
---|---|
Provider Name | Aravindan Amuth |
First Address | Doylestown, PA 18901-3529 |
Second Address | Doylestown, PA 18901-3529 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 12/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101536563 | (05) | PA |
I48405 | (02) | PA |