Raghava S Kavalla, MD
Pediatrics in Vineland, New Jersey
1891109203- Practice location
- 1505 W Sherman Ave, Vineland, NJ 08360-7059
- Phone
- 856-845-0100
- Fax
- —
- Last updated
- July 21, 2022
Raghava Shree Kavalla is a Pediatrics based in Vineland, NJ. Raghava Shree Kavalla practices in Vineland, NJ and has the professional credentials of MD. The NPI Number for Raghava Shree Kavalla is 1891109203 and holds a License No. 25MA10962500 (NJ). The current practice location address for Raghava Shree Kavalla is 1505 W Sherman Ave, Vineland, NJ 08360-7059 and can be reached out via phone at 856-845-0100.
Provider Profile Details
- NPI Number
- 1891109203
- Provider Name
- Raghava Shree Kavalla
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1505 W Sherman Ave, Vineland, NJ 08360-7059
- Phone Number
- 856-845-0100
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 13, 2014
- Last Update Date
- July 21, 2022
- Certification Date
- December 31, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1505 W Sherman Ave
Vineland, NJ 08360-7059 - City
- Vineland
- State
- New Jersey
- Zip
- 08360-7059
- Phone Number
- 856-845-0100
Provider Business Mailing Address Details
- Address
- Po Box 191
Rockland, DE 19732-0191 - City
- Rockland
- State
- DE
- Zip
- 19732-0191
License Information
- License Number (1)
- 25MA10962500
- License State (1)
- NJ
- Taxonomy (1)
- Pediatrics · 208000000X · Primary
- License Number (2)
- 272925
- License State (2)
- MA
- Taxonomy (2)
- Pediatrics, Neonatal-Perinatal Medicine · 2080N0001X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Vineland, NJ
View all Pediatrics providers in Vineland →Frequently Asked Questions
What is the NPI number of Raghava S Kavalla, MD?
The NPI number of Raghava S Kavalla, MD is 1891109203. It was assigned on June 13, 2014 and is currently active in the NPPES registry.
What is the specialty of Raghava S Kavalla, MD?
Raghava S Kavalla, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA10962500.
Where does Raghava S Kavalla, MD practice?
The practice location is 1505 W Sherman Ave, Vineland, NJ 08360-7059. The office can be reached at 856-845-0100 (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 1891109203 directly on the NPPES registry website.