Individual
AJAY NANAVATI
Active
Individual
AJAY NANAVATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12534
NH
207R00000X
Internal Medicine Physician
Primary
220686
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110090585A
—
MA
05
—
30204715
—
NH
Enumeration date
08/04/2006
Last updated
10/16/2025
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