Individual
ROBERT AVENA
Active
Individual
ROBERT AVENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
01038723A
IN
207R00000X
Internal Medicine Physician
Primary
01038723
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023329800
FEDERAL BLACK LUNG
IN
05
—
1003265760C
—
IN
01
—
10780065
CAQH
IN
01
—
110123778
RAILROAD MEDICARE
IN
Enumeration date
08/02/2006
Last updated
08/11/2026
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