Amaravadi & Amaravadi MD PA

Organization Active NPI Pulmonary Disease Physician · Trinity, FL

NPI 1790770360 · NPPES record last updated Apr 20, 2008

Key facts

NPI
1790770360
Entity type
Organization (NPI type 2)
Primary specialty
Pulmonary Disease Physician 207RP1001X
Legal business name
AMARAVADI & AMARAVADI MD PA
Practice address
3535 Little Road
Trinity, FL 34655-1811
Phone
(727) 375-0848
Fax
(727) 375-5548
NPI assigned
Sep 20, 2005
Organization subpart
No

Authorized official

Name
Sivakumar V Amaravadi, MD
Title
MD
Phone
(727) 375-0848

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X
Pulmonary Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RP1001X Yes
Pulmonary Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RP1001X 038311 FL
Physical Medicine & Rehabilitation Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208100000X

Addresses

Primary practice location

3535 Little Road
Trinity, FL 34655-1811

Mailing address

3535 Little Road
Trinity, FL 34655-1811
Phone (727) 375-0848

Other identifiers

IdentifierTypeStateIssuer
21719OtherFLBLUE CROSS BLUE SHIELD

Other names

  • AMAR & AMAR MD PA Former legal business name

Other providers in Trinity, FL

All providers in Trinity, FL · Pulmonary Disease Physician in Florida

Sources for this page

Verify at the official NPI Registry.