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Organization
S AVA MAHAPATRA MD A PROF CORPORATION
Active
Organization
S AVA MAHAPATRA MD A PROF CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAKTI AVA MAHAPATRA M.D. (PRESIDENT)
(760) 323-2225
Entity
Organization
Contact information
Practice address
1180 N INDIAN CANYON DR, SUITE W-210, PALM SPRINGS, CA 92262-4800
(760) 323-2225
(760) 323-1147
Mailing address
1180 N INDIAN CANYON DR, SUITE W-210, PALM SPRINGS, CA 92262-4800
(760) 323-2225
(760) 323-1147
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A37578
CA
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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