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General NPI Number Information
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NPI Number | 1225453467
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Entity Type | Individual
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Provider Name | MILENA CAVALCANTE M. D.
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Gender | Female
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Dates
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Enumeration Date | 02/25/2014
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Last Update Date | 07/27/2021
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Provider Practice Location Address
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Address Line | 300 S LEON S PETERS BLVD
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City | FOWLER
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State | CA
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Zip | 93625-2538
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Country | US
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Telephone | 559-834-1614
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Fax |
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Provider Business Mailing Address
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Address Line | 213 N AMEDEO LN
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City | CLOVIS
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State | CA
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Zip | 93611-6107
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MD191711
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 173007
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License Number State | CA
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