Provider Demographics
NPI:1528223286
Name:AVIK, ELISA L (MD)
Entity Type:Individual
Prefix:MS
First Name:ELISA
Middle Name:L
Last Name:AVIK
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Gender:F
Credentials:MD
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Mailing Address - Street 1:7300 N FRESNO ST
Mailing Address - Street 2:PALM 1
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2941
Mailing Address - Country:US
Mailing Address - Phone:559-488-4262
Mailing Address - Fax:559-448-3520
Practice Address - Street 1:7300 N FRESNO ST
Practice Address - Street 2:PALM 1
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2941
Practice Address - Country:US
Practice Address - Phone:559-488-4262
Practice Address - Fax:559-448-3520
Is Sole Proprietor?:No
Enumeration Date:2008-07-22
Last Update Date:2021-12-20
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Provider Licenses
StateLicense IDTaxonomies
CAA114011207RC0200X, 207RP1001X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease