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MARIANNE AUGUSTINE KAVAN MD NPI 1245486422


NPI Information

NPI: 1245486422
Provider Name: MARIANNE AUGUSTINE KAVAN, MD
Classification: Pediatrics - 2080P0206X
Entity Type: Individual

Specialization: Pediatric Gastroenterology

PECOS Registration: Yes

Address:
295 S CHIPETA WAY
SALT LAKE CITY, UT
ZIP 84108
Phone: (703) 862-9076
Get Directions

Marianne Augustine Kavan, MD is a pediatric gastroenterology pediatrics in Salt Lake City, UT. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. Marianne Augustine Kavan, MD NPI is 1245486422. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

295 S CHIPETA WAY
SALT LAKE CITY, UT
ZIP 84108-287
Phone: (703) 862-9076

The NPI 1245486422 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 8/7/2008 and was last updated on 12/14/2021.


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
1208000000XPediatricsMT193865PENNSYLVANIANo
2208000000XPediatrics959965-1205UTAHNo
32080T0004XPediatricsPediatric Transplant Hepatology959965-1205UTAHNo
42080P0206XPediatricsPediatric Gastroenterology959965-1205UTAHYes

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.