Ayyagari, Kalavathi

Ayyagari, Kalavathi is an individual health care provider with primary practice located at 2010 Springfield Ave , Maplewood NJ 07040-3437. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Ayyagari, Kalavathi can be contacted via phone (973) 761-8500.

Contact Information

Primary practice address
2010 Springfield Ave Maplewood NJ 07040-3437
Fax: (973) 761-8910
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA30677 New Jersey

Profile Details

NPI number 1851383798
LBN Legal business name Ayyagari, Kalavathi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851383798 NPPES
New Jersey MEDICAID 0849901

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