Individual
AMTUL MAHAVESH
Active
Individual
AMTUL MAHAVESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2012-0058
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29750521
—
NM
Enumeration date
07/02/2009
Last updated
03/18/2016
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