Active NPIIndividual providerSole proprietor

Dr. Patrick D Kavanagh, MD

Internal Medicine in Coral Gables, Florida

NPI Number1104970417
Practice location
1430 S Dixie Hwy Ste 304, Coral Gables, FL 33146-3159
Fax
—
Last updated
February 11, 2025

Patrick Desmond Kavanagh is an Internal Medicine based in Coral Gables, FL. Patrick Desmond Kavanagh practices in Coral Gables, FL and has the professional credentials of MD. The NPI Number for Patrick Desmond Kavanagh is 1104970417 and holds a License No. 0101264898 (VA). The current practice location address for Patrick Desmond Kavanagh is 1430 S Dixie Hwy Ste 304, Coral Gables, FL 33146-3159 and can be reached out via phone at 888-696-4322.

Provider Profile Details

NPI Number
1104970417
Provider Name
Patrick Desmond Kavanagh
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1430 S Dixie Hwy Ste 304, Coral Gables, FL 33146-3159
Phone Number
888-696-4322
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 23, 2007
Last Update Date
February 11, 2025
Certification Date
February 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1430 S Dixie Hwy Ste 304
Coral Gables, FL 33146-3159
State
Florida
Zip
33146-3159
Phone Number
888-696-4322
Coral Gables, FL 33146Get directions →

Provider Business Mailing Address Details

Address
10000 Bo Bajuras
Villa Montana Unit B3
Isabela, PR 00662
City
Isabela
State
PR
Zip
00662
Phone Number
305-354-0458

License Information

License Number (1)
0101264898
License State (1)
VA
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
25MA09668800
License State (2)
NJ
Taxonomy (2)
Internal Medicine · 207R00000X
License Number (3)
ME96603
License State (3)
FL
Taxonomy (3)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Patrick D Kavanagh, MD?

The NPI number of Dr. Patrick D Kavanagh, MD is 1104970417. It was assigned on January 23, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Patrick D Kavanagh, MD?

Dr. Patrick D Kavanagh, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in VA under license number 0101264898.

Where does Dr. Patrick D Kavanagh, MD practice?

The practice location is 1430 S Dixie Hwy Ste 304, Coral Gables, FL 33146-3159. The office can be reached at 888-696-4322 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104970417 directly on the NPPES registry website.

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