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Contact Information

KALYANI GAVINI, MD
6000 BOND AVE
CENTREVILLE, IL62207-2328
 Phone: 618-332-2083
 Fax: 618-337-6039
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for KALYANI GAVINI · (Female)

NPI Number 1730214206
Status Active
Credentials MD
Entity Individual
Enumeration date 02/23/2007
Last updated 10/14/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 036119523
  • MO License # 2014023572
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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