Provider Demographics
NPI:1457354581
Name:CAVALE, ARVIND RAMACHANDRARAO (MD)
Entity type:Individual
Prefix:DR
First Name:ARVIND
Middle Name:RAMACHANDRARAO
Last Name:CAVALE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 ROSE AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-4324
Mailing Address - Country:US
Mailing Address - Phone:215-953-6804
Mailing Address - Fax:215-953-6635
Practice Address - Street 1:4 ROSE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-4324
Practice Address - Country:US
Practice Address - Phone:215-953-6804
Practice Address - Fax:215-953-6635
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD052765L207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0174034003Medicaid
P95125Medicare UPIN
PA024996Medicare ID - Type UnspecifiedINDIVIUAL PROVIDER ID
PA084831Medicare ID - Type UnspecifiedGROUP PROVIDER ID