Individual
KAVEL H. VISRODIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 305-1909
(212) 305-1081
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 305-1909
(212) 305-1081
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
292517
NY
207R00000X
Internal Medicine Physician
56760
MN
207RG0100X
Gastroenterology Physician
Primary
292517
NY
207RG0100X
Gastroenterology Physician
56760
MN
Other
Enumeration date
06/26/2012
Last updated
10/27/2020
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