Provider Demographics
NPI:1326425463
Name:RAVAL, KAVI (DO)
Entity type:Individual
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First Name:KAVI
Middle Name:
Last Name:RAVAL
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Gender:M
Credentials:DO
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Mailing Address - Street 1:PO BOX 33269
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85067-3269
Mailing Address - Country:US
Mailing Address - Phone:602-406-4786
Mailing Address - Fax:916-636-4358
Practice Address - Street 1:350 W THOMAS RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-4409
Practice Address - Country:US
Practice Address - Phone:602-406-3430
Practice Address - Fax:602-406-2340
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-28
Last Update Date:2024-11-20
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Provider Licenses
StateLicense IDTaxonomies
AZ0091092085R0204X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology