S Ava Mahapatra MD a Prof Corporation
NPI #1013223601 in Palm Springs, California
Provider Information
- NPI Number
- 1013223601
- Entity Type
- Organization
- Organization Name
- S Ava Mahapatra MD a Prof Corporation
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 20, 2010
- Last Updated
- Aug 20, 2010
Practice Location
- Address
- 1180 N INDIAN CANYON DR
- Address 2
- SUITE W-210
- City
- Palm Springs
- State
- California
- ZIP Code
- 92262-4800
- Phone
- (760) 323-2225
Authorized Official
- Name
- MRS. SHAKTI AVA MAHAPATRA, M.D.
- Title
- PRESIDENT
- Phone
- (760) 323-2225
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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