Individual
PAVITRA THIRUVEETHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 GYPSY LN, YOUNGSTOWN, OH 44504-1315
(330) 884-4250
(330) 884-0651
Mailing address
500 GYPSY LN, YOUNGSTOWN, OH 44504-1315
(330) 884-4250
(330) 884-0651
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD469768
PA
207RN0300X
Nephrology Physician
Primary
MD469768
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2016
Last updated
08/31/2023
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