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Individual
MR. AVANISH MADHAVARAM
Active
Individual
MR. AVANISH MADHAVARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35925
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
08/13/2026
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