# DR. MADHAVI AVERNENI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1710171954
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 0101255297 | VA | — |
| 207R00000X | Internal Medicine Physician | 2007018934 | MO | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 2015-00376 | NC | Yes |

## Other

- **Enumeration date:** 08/30/2007
- **Last updated:** 01/30/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1710171954 | — | VA |
| 01 | — | PENDING | ARK BLUE SHIELD | AR |
| 05 | — | PENDING | — | MO |