Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 01066773A | IN |
NPI | 1033237177 |
---|---|
Provider Name | Dr. Haritha Avula |
First Address | Indianapolis, IN 46202-5705 |
Second Address | Indianapolis, IN 46202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 13/07/2010 |