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NPI Code Detail

MEDICARE: CARMEN M KAVALI MD

MEDICARE:   CARMEN M KAVALI  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0122XPlastic and Reconstructive Surgery Physician050968GA

General Provider Information

NPI Number : 1316903255
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARMEN M KAVALI MD
Provider Business Mailing Address
First Line : 6045 BARFIELD RD
Second Line : STE 100
City : ATLANTA
State : GA
Zip : 30328
Country : US
Telephone Number : 404-250-3333
Fax Number : 404-250-0175
Provider Business Practice Location Address
First Line : 6045 BARFIELD RD
Second Line : STE 100
City : ATLANTA
State : GA
Zip : 30328
Country : US
Telephone Number : 404-250-3333
Fax Number : 404-250-0175
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 04/29/2016

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Directions to “ CARMEN M KAVALI MD” Practice Location

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