Organization
ADIAVNI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIL ARORA MD (OWNER)
(815) 220-9028
Entity
Organization
Contact information
Practice address
280 CUMBERLAND TRACE RD, APT. 417, BOWLING GREEN, KY 42103-9099
(815) 220-9028
(815) 220-9028
Mailing address
280 CUMBERLAND TRACE RD, APT. 417, BOWLING GREEN, KY 42103-9099
(815) 220-9028
(815) 220-9028
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
KY
207Y00000X
Otolaryngology Physician
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100302980
—
KY
Enumeration date
06/02/2014
Last updated
06/24/2016
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