Provider Demographics
NPI:1427352251
Name:KAMATH, AVIVA MICHELE (MD)
Entity type:Individual
Prefix:DR
First Name:AVIVA
Middle Name:MICHELE
Last Name:KAMATH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:200 NORTH VILLAGE AVENUE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570
Mailing Address - Country:US
Mailing Address - Phone:516-536-8151
Mailing Address - Fax:516-536-8153
Practice Address - Street 1:200 NORTH VILLAGE AVENUE
Practice Address - Street 2:SUITE 300
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570
Practice Address - Country:US
Practice Address - Phone:516-536-8151
Practice Address - Fax:516-536-8153
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-09
Last Update Date:2015-06-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY260000207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease