National Provider Identifier Database

KELLI R FAVATA, MD – NPI #1184822348
Vascular Specialist

A vascular technologist, also known as a vascular sonographer, creates images of blood vessels and collects data that help physicians diagnose disorders affecting blood flow. Vascular technologists often evaluate blood flow and identify blocked arteries or blood clots.


Contact Information

KELLI R FAVATA, MD
3530 S VAL VISTA DR STE B210
GILBERT, AZ85297-7318
Phone: 800-991-6117
Fax:
Website:
Specialty Taxonomy Code
* Vascular Specialist 246XC2903X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for KELLI R FAVATA

NPI Number 1184822348
Credentials MD
Entity Individual
Enumeration date 07/10/2007
Last updated 02/15/2025 - More than a year ago
Sole proprietor1 No
Identifiers
  • AZ License #: 45344
  • SC License #: 30177
  • AZ Medicaid: 654974
Hospital affiliation n/a

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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