Kothavale, Avinash A
Kothavale, Avinash A is an individual health care provider with primary practice located at 1 Diamond Hill Rd Summit Medical Group, Berkeley Heights NJ 07922-2104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kothavale, Avinash A can be contacted via phone (908) 273-4300.Contact Information
Primary practice address
1 Diamond Hill Rd Summit Medical Group
Berkeley Heights NJ 07922-2104
Phone: (908) 273-4300
Fax: (908) 673-7108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 25MA08075300 | New Jersey |
Profile Details
| NPI number | 1285672584 |
|---|---|
| LBN Legal business name | Kothavale, Avinash A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Sep 24th, 2012 - about 12 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 | 1285672584 | NPPES |
| New Jersey | Other | 107783CP5 | MEDICARE ID-TYPE UNSPECIFIED |
| New Jersey | MEDICAID | 2107562 | MEDICARE ID-TYPE UNSPECIFIED |
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