# STEPHEN FW CAVANAH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1427045723
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 23372 | KY | Yes |

## Other

- **Enumeration date:** 10/02/2005
- **Last updated:** 11/01/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201130560 | — | IN |
| 05 | — | 7100222610 | — | KY |
| 01 | — | 791023 | ANTHEM-NCMA | KY |
| 01 | — | K072160 | MEDICARE- NCMA ENDO | KY |