Provider Demographics
NPI:1710447420
Name:AMPUTATION PREVENTION ASSOCIATION
Entity Type:Organization
Organization Name:AMPUTATION PREVENTION ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADITYA
Authorized Official - Middle Name:
Authorized Official - Last Name:VERMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-624-0820
Mailing Address - Street 1:5448 AVENIDA DE LOS ROBLES
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-5174
Mailing Address - Country:US
Mailing Address - Phone:559-624-0820
Mailing Address - Fax:
Practice Address - Street 1:5448 AVENIDA DE LOS ROBLES
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-5174
Practice Address - Country:US
Practice Address - Phone:559-624-0820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-20
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty