Achuthan, Aji Valayil

Achuthan, Aji Valayil is an individual health care provider with primary practice located at 1741 David Walker Dr , Tavares FL 32778-5745. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Achuthan, Aji Valayil can be contacted via phone (352) 742-3578.

Contact Information

Primary practice address
1741 David Walker Dr Tavares FL 32778-5745
Phone: (352) 742-3578
Fax: (352) 742-3581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9241888 Florida

Profile Details

NPI number 1023489309
LBN Legal business name Achuthan, Aji Valayil
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2015
Last updated Mar 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023489309 NPPES
Florida MEDICAID 016521900

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