Individual
DR. SOMA SUNDARAM AVVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 PHILADELPHIA DR, 651, DAYTON, OH 45406-1840
(937) 278-0809
(937) 275-2696
Mailing address
5770 WILLOW WALK, DAYTON, OH 45415-2620
(937) 275-5600
(937) 275-2696
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
35.37830
OH
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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