Individual
KAVYA MIRCHIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-7439
Mailing address
500 GYPSY LN, YOUNGSTOWN, OH 44504-1315
(405) 371-1353
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
306507-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/14/2014
Last updated
01/27/2022
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