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DR. PATRICK DESMOND KAVANAGH M.D. NPI 1104970417


NPI Information

NPI: 1104970417
Provider Name: DR. PATRICK DESMOND KAVANAGH, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1430 S DIXIE HWY STE 304
CORAL GABLES, FL
ZIP 33146
Phone: (888) 696-4322
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DR. Patrick Desmond Kavanagh, M.D. is an internal medicine in Coral Gables, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Patrick Desmond Kavanagh, M.D. NPI is 1104970417. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1430 S DIXIE HWY STE 304
CORAL GABLES, FL
ZIP 33146-159
Phone: (888) 696-4322

The NPI 1104970417 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 12/6/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineME96603FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1022203OTHERPUERTO RICOPUERTO RICO STATE LICENSE
22019032474OTHERMISSOURIMISSOURI STATE LICENSE
32019-01534OTHERNORTH CAROLINANORTH CAROLINA STATE LICENSE
47206220OTHERWISCONSINWISCONSON STATE LICENSE
5MD-20583OTHERHAWAIIHAWAII STATE LICENSE
6MD462196OTHERPENNSYLVANIAPENNSYLVANIA STATE LICENSE
725MA09668800OTHERNEW JERSEYNEW JERSEY STATE LICENSE
8308192OTHERLOUISIANALOUISIANA STATE LICENSE
961402OTHERCONNECTICUTCONNECTICUT STATE LICENSE
10DR.0060459OTHERCOLORADOCOLORADO STATE LICENSE
11MD.43069OTHERALABAMASTATE LICENSE
12MD60947259OTHERWASHINGTONWASHINGTON STATE LICENSE
130101264898OTHERVIRGINIAVIRGINIA STATE LICENSE
1435.136642OTHEROHIOOHIO STATE LICENSE
15036145182OTHERILLINOISILLINOIS STATE LICENSE
1604-41271OTHERKANSASKANSAS STATE LICENSE
1710800188OTHERUTAHUTAT STATE LICENSE
184301115326OTHERMICHIGANMICHIGAN STATE LICENSE
1951762OTHERSOUTH CAROLINASOUTH CAROLINA LICENSE
2057668OTHERTENNESSEETENNESSEE
2176171OTHERMONTANAMONTANA STATE LICENSE
22078512OTHERGEORGIAGEORGIA STATE LICENSE
23C154678OTHERCALIFORNIACALIFORNIA STATE LICENSE
2431765OTHERNEBRASKANEBRASKA STATE LICENSE
25R9508OTHERTEXASTEXAS STATE LICENSE
26TL6006OTHERWYOMINGWYOMING STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.