Provider Demographics
NPI:1013413152
Name:JAWAHAR, ARAVINTH PRASANTH (MD)
Entity Type:Individual
Prefix:DR
First Name:ARAVINTH PRASANTH
Middle Name:
Last Name:JAWAHAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4, ANNAI ILLAM, TEPPAKULAM NEW COLONY, KAMARAJAR ROAD
Mailing Address - Street 2:
Mailing Address - City:MADURAI
Mailing Address - State:TAMIL NADU
Mailing Address - Zip Code:625009
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1650 GRAND CONCOURSE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-7606
Practice Address - Country:US
Practice Address - Phone:718-960-1417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-05
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program