Provider Demographics
NPI:1699470740
Name:AVVA, SAHITHI
Entity type:Individual
Prefix:
First Name:SAHITHI
Middle Name:
Last Name:AVVA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:SAHITHI
Other - Middle Name:
Other - Last Name:AVVA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MBBS
Mailing Address - Street 1:6670 BERTNER AVE # R2-204
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2602
Mailing Address - Country:US
Mailing Address - Phone:713-441-1838
Mailing Address - Fax:713-441-0589
Practice Address - Street 1:6670 BERTNER AVE # R2-204
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2602
Practice Address - Country:US
Practice Address - Phone:713-441-1838
Practice Address - Fax:713-441-0589
Is Sole Proprietor?:No
Enumeration Date:2023-03-30
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program