Individual
SUSHMA KAVETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4755 OGLETOWN STANTON RD STE 5A43, NEWARK, DE 19718-1900
(302) 623-0188
Mailing address
501 S 54TH ST STE 382, PHILADELPHIA, PA 19143-1900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C1-0012918
DE
207R00000X
Internal Medicine Physician
MD449037
PA
Other
Enumeration date
08/21/2011
Last updated
10/22/2019
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