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NPI Code Detail

MEDICARE: DR. PALLAVI KAVETY D.D.S

MEDICARE:  DR. PALLAVI  KAVETY  D.D.S
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
11223P0221XPediatric Dentistry59445CA
21223G0001XGeneral Practice DentistryLL609MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649583931
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PALLAVI KAVETY D.D.S
Provider Business Mailing Address
First Line : 2620 E COLORADO BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91107-3746
Country : US
Telephone Number : 626-616-3977
Fax Number :
Provider Business Practice Location Address
First Line : 2620 E COLORADO BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91107-3746
Country : US
Telephone Number : 626-600-7171
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2010
Last Update Date : 09/19/2025

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Directions to “ DR. PALLAVI KAVETY D.D.S” Practice Location

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