Individual
HEMANTH K GAVINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3201
(202) 741-2160
(202) 741-2169
Mailing address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3201
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
01094320A
IN
207RG0100X
Gastroenterology Physician
Primary
MD500002303
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112033
—
AZ
01
—
P00345246
RR MEDICARE
AZ
Enumeration date
08/05/2006
Last updated
11/04/2024
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