DR. PAVAN K KAVALI


Address: 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016
Phone: 3143627200

DR. PAVAN K KAVALI (NPI# 1609192277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609192277
Entity Type Individual
Full Name DR. PAVAN K KAVALI
Credential MD
Practice Address 510 S Kingshighway Blvd
Saint Louis
MO 63110-1016
Mailing Address 660 S Euclid Ave
C B 8131
Saint Louis
MO 63110-1010
Practice Telephone 3143627200
Practice Fax Number 3147474189
Mailing Telephone 3143627200
Mailing Fax Number 3147474189
Enumeration Date 2010-04-07
Last Update Date 2018-01-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
2016025803 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 1609192277 05
IL ENROLLED 05

Office Location

Street Address 510 S KINGSHIGHWAY BLVD
City SAINT LOUIS
State MO
Zip Code 63110-1016

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033107982 Laurie L Fajardo Radiology 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 2005-10-13
1902442650 Amir Iravani Tabrizipour Nuclear Medicine 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 2019-11-18
1942850078 Paul-robert Derenoncourt Nuclear Medicine 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 2019-09-20
1659861615 Alexander Baireddy Reddy Radiology 510 S Kingshighway Blvd, Saint Louis, MO 63110 2018-05-15
1508356700 Daniel Crawford Student in an Organized Health Care Education/Training Program 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 2018-05-14
1154826675 Eric Weiner Student in an Organized Health Care Education/Training Program 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 2018-03-27
1447754767 Allison L Schell Physician Assistant 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 2018-03-21
1407381262 Philip Andrew Velez Student in an Organized Health Care Education/Training Program 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 2017-04-28
1154778959 Jimmy Xu Radiology 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 2016-05-21
1124402573 Wei Wang Radiology 510 S Kingshighway Blvd, Dept Radiology, Saint Louis, MO 63110-1016 2015-07-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659971992 Carrie Ellen Smith Nurse Practitioner Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 2020-10-27
1881210466 Michelle Amanda Freilich Internal Medicine Barnes-jewish Plaza, St. Louis, MO 63110 2020-06-19
1245856046 Jeevin Shahi Radiology 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 2020-06-18
1497371314 Wilson Eduardo Rodriguez Student in an Organized Health Care Education/Training Program 1008 S. Spring, St Louis, MO 63110 2020-06-17
1578184065 Kathryn Kay Lindsay Registered Nurse Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 2020-05-06
1881232700 Ashley Diane Pace Nurse Practitioner 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 2019-12-11
1619520418 Krithika Damodar Shenoy Pathology 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 2019-07-20
1467912550 Ian Ferguson Dermatology 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 2019-03-23
1760978688 Ihab Hassanieh Student in an Organized Health Care Education/Training Program 33660 Vista Ave, St. Louis, MO 63110 2018-07-03
1336634500 Martin K Mwangi Pediatrics 1 Childrens Place, 3s34, St. Louis, M, MO 63110 2018-06-28
Find all providers in zip 63110

Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649396334 William Edward Holloway Radiology 226 N Boyle Ave Apt 2n, Saint Louis, MO 63108-2922 2007-03-22
1851895718 Allison Khoo Radiology 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 2018-03-23
1922530666 Francisco Javier Gortes Radiology 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 2017-03-31
1154778959 Jimmy Xu Radiology 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 2016-05-21
1396152005 Ahmed Abdelbaki Radiology 3635 Vista Ave, Saint Louis, MO 63110-2539 2014-07-14
1124446844 Alexander Ushinsky Radiology 510 S Kingshighway Blvd, Saint Louis, MO 63110 2014-03-31
1225391592 Ali Malik Radiology 3635 Vista Ave, Saint Louis, MO 63110-2539 2012-06-20
1306131974 Jerome Kao Radiology 3635 Vista Ave, Department of Radiology, Saint Louis, MO 63110 2011-06-12
1346553443 Louis Maurice Morel-ovalle Radiology 3635 Vista Ave, Ssm Health Dept of Radiology, Saint Louis, MO 63110-2539 2010-07-17
1235362252 Olaguoke K Akinwande Radiology 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 2009-08-25
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63110

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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