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NPI Code Detail

MEDICARE: DR. KAVITA AVULA PSY.D.

MEDICARE:  DR. KAVITA  AVULA  PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY1000240DC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1201559486OTHERDCTAX ID
2K0450001OTHERDCCAREFIRST

General Provider Information

NPI Number : 1932317617
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAVITA AVULA PSY.D.
Provider Business Mailing Address
First Line : 1808 T ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20009-7126
Country : US
Telephone Number : 202-319-4344
Fax Number : 202-319-5570
Provider Business Practice Location Address
First Line : 1808 T ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20009-7126
Country : US
Telephone Number : 202-319-4344
Fax Number : 202-319-5570
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2007
Last Update Date : 07/29/2008

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Directions to “ DR. KAVITA AVULA PSY.D.” Practice Location

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