Individual
YOCHANA R GAVVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2116 S PARK AVE, ALEXANDRIA, IN 46001
(765) 298-4013
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01078662A
IN
390200000X
Student in an Organized Health Care Education/Training Program
4301103151
MI
Other
Enumeration date
06/18/2013
Last updated
11/27/2023
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