Individual
DR. AMINA KOYA EDATHODU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4119 N ARMENIA AVE, TAMPA, FL 33607-6433
(813) 870-7065
Mailing address
3351 W BEARSS AVE, TAMPA, FL 33618-2100
(813) 833-6935
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME 47559
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912343310
NPI
FL
Enumeration date
05/13/2013
Last updated
02/23/2023
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