Individual provider · Type 1 NPI

Kevin Shailesh Avichal, PA-C

Medical Physician Assistant · Union, NJ

NPI number 1174040539 Active

Practice location

2317 Center Island, Route 22
Union, NJ 07083

Call (201) 354-1951 Map

Fax (201) 354-1952

Mailing address

1244 Plane St
Union, NJ 07083-3820

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X25MP00445700 (NJ)
Orthopaedic Surgery Physician 207X00000X25MP00445700 (NJ)
Medical Physician Assistant Primary 363AM0700X25MP00445700 (NJ)
Physician Assistant 363A00000X021217 (NY)

Medical Physician Assistant: Definition to come...

2 other providers at this address

Other medical physician assistant providers in Union

See all in Union →

About NPI 1174040539

Kevin Shailesh Avichal, PA-C's National Provider Identifier is 1174040539, issued on Aug 26, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Union, NJ. The record was last updated on May 2, 2024.