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NPI Code Detail

MEDICARE: KAVYA MATHUR RENDALL DO

MEDICARE: KAVYA MATHUR RENDALL DO
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
1207Q00000XFamily Medicine Physician0102208646VA

General Provider Information

NPI Number : 1790367423
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAVYA MATHUR RENDALL DO
Provider Business Mailing Address
First Line : PO BOX 37189
Second Line :
City : BALTIMORE
State : MD
Zip : 21297-3189
Country : US
Telephone Number : 571-423-5699
Fax Number : 571-423-5698
Provider Business Practice Location Address
First Line : 3600 S GLEBE RD STE 110
Second Line :
City : ARLINGTON
State : VA
Zip : 22202-2379
Country : US
Telephone Number : 571-665-6480
Fax Number : 571-665-6481
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2021
Last Update Date : 02/13/2026

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Directions to “ KAVYA MATHUR RENDALL DO” Practice Location

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