Healthcare Provider Details

I. General information

NPI: 1285735985
Provider Name (Legal Business Name): MR. MARK STEVEN KAVIT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 ALTAMONT ST
CHARLOTTESVILLE VA
22902-4615
US

IV. Provider business mailing address

400 ALTAMONT ST
CHARLOTTESVILLE VA
22902-4615
US

V. Phone/Fax

Practice location:
  • Phone: 434-979-3353
  • Fax: 434-979-1358
Mailing address:
  • Phone: 434-979-3353
  • Fax: 434-979-1358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: