Jathal, Adwait H

Jathal, Adwait H is an individual health care provider with primary practice located at 200 Michigan Ave , Melbourne FL 32901-3100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Jathal, Adwait H can be contacted via phone (321) 952-0700.

Contact Information

Primary practice address
200 Michigan Ave Melbourne FL 32901-3100
Phone: (321) 952-0700
Fax: (321) 952-4444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME96379 Florida

Profile Details

NPI number 1972574333
LBN Legal business name Jathal, Adwait H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Nov 10th, 2015 - about 11 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 1972574333 NPPES
Florida Other 1378963 AETNA
Florida Other 293711 AETNA
Florida Other 56422 AETNA
Florida MEDICAID 276213700 AETNA
Florida Other 7863816 AETNA
Florida Other 2769681002 AETNA

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