Provider Demographics
NPI:1588014039
Name:KAVURI, HYMAVATI
Entity type:Individual
Prefix:
First Name:HYMAVATI
Middle Name:
Last Name:KAVURI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 E 33RD ST APT 3D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-4664
Mailing Address - Country:US
Mailing Address - Phone:562-413-6280
Mailing Address - Fax:
Practice Address - Street 1:125 WALKER ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4135
Practice Address - Country:US
Practice Address - Phone:212-226-3888
Practice Address - Fax:212-334-6887
Is Sole Proprietor?:No
Enumeration Date:2016-06-15
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY300626207Q00000X
DC210001681207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine