Individual
AMITI NANAVATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 GEORGIA AVE NW, WASHINGTON, DC 20010-2501
(202) 829-5437
Mailing address
415 N GRAND AVE, PUEBLO, CO 81003-3111
(719) 583-1800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13890
MD
1223G0001X
General Practice Dentistry
30-022250
OH
Other
Enumeration date
11/20/2006
Last updated
09/11/2025
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