Individual
AVIRA SOM
Active
Individual
AVIRA SOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2021021843
MO
207R00000X
Internal Medicine Physician
3015669
MA
207RR0500X
Rheumatology Physician
Primary
W6388
TX
Other
Enumeration date
06/17/2021
Last updated
08/03/2026
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