Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KAVITA MARIWALLA, M.D
Active Sole ProprietorDR. KAVITA MARIWALLA, M.D is a Obesity Medicine healthcare provider located in WEST ISLIP, New York. NPI 1962674184 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · WEST ISLIP, NY
Registration Details
- NPI Number
- 1962674184
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 27, 2008 (18.411651516476 yrs)
- Last Updated
- Sep 28, 2020
- Licenses
-
046352 (CT)253189 (NY)253189 (NY)046352 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1253 MONTAUK HIGHWAYWEST ISLIP, NY, 117954916Browse NY providers · Browse ZIP 11795
- Phone
- 6316653376
- Fax
- 6319693370
- Primary Specialty
-
Obesity Medicine
207ND0101X
- Additional Specialty
- Obesity Medicine
- Additional Specialty
- Dermatology
- Additional Specialty
- Obesity Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.