Individual
AVNISH ARVIND DEOBHAKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 DEACONESS RD, DEACONESS 306, BOSTON, MA 02215-5321
(617) 632-8266
Mailing address
7310 BINDER RD, DOWNERS GROVE, IL 60516-3734
(650) 387-1268
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
264769
NY
Other
Enumeration date
05/15/2008
Last updated
05/06/2021
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