Kavilaveettil, Reena Jiju
Kavilaveettil, Reena Jiju is an sole proprietor health care provider with primary practice located at 15267 Amberly Dr , Tampa FL 33647-2155. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Kavilaveettil, Reena Jiju can be contacted via phone (813) 972-5414.Contact Information
Primary practice address
15267 Amberly Dr
Tampa FL 33647-2155
Phone: (813) 972-5414
Fax: (813) 972-5413
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 9ME0092765 | Florida |
Profile Details
| NPI number | 1629023379 |
|---|---|
| LBN Legal business name | Kavilaveettil, Reena Jiju |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2006 |
| Last updated | Jun 4th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629023379 | NPPES |
| Florida | MEDICAID | 272929600 |
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