Individual
AVANIJA KANMANTHAREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2690 SOUTHFIELD DR STE A, YORK, PA 17403-4510
(717) 741-1414
Mailing address
2690 SOUTHFIELD DR STE A, YORK, PA 17403-4510
(717) 741-1414
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
7496
NE
207RG0100X
Gastroenterology Physician
31026
NE
207RG0100X
Gastroenterology Physician
Primary
MD484938
PA
Other
Enumeration date
06/29/2015
Last updated
09/24/2024
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