Provider Demographics
NPI:1255128278
Name:AVULA, KHAVYA CHOUDHARY (MD)
Entity type:Individual
Prefix:DR
First Name:KHAVYA
Middle Name:CHOUDHARY
Last Name:AVULA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:847 UPLAND LOOP
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-6594
Mailing Address - Country:US
Mailing Address - Phone:262-237-2385
Mailing Address - Fax:
Practice Address - Street 1:506 LENOX AVE # MP5-177
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1889
Practice Address - Country:US
Practice Address - Phone:262-237-2385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program