Individual
DR. AMAR GAUTAM NANAVATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1360 WEST ONTARIO STREET, JONES HALL 9TH FLOOR, PHILADELPHIA, PA 19140
(609) 320-7856
Mailing address
1360 WEST ONTARIO STREET, JONES HALL 9TH FLOOR, PHILADELPHIA, PA 19140
(609) 320-7856
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD443502
PA
208M00000X
Hospitalist Physician
Primary
25MA09165900
NJ
Other
Enumeration date
07/10/2008
Last updated
10/19/2020
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