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Individual
DR. KEVIN DAWRAVOO
Active
Individual
DR. KEVIN DAWRAVOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036122919
IL
207RH0000X
Hematology (Internal Medicine) Physician
036122919
IL
207RH0003X
Hematology & Oncology Physician
Primary
036122919
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036122919
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147128
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
CA4748
MEDICARE RAILROAD PTAN (GROUP)
IL
01
—
P01095279
MEDICARE RAILROAD PTAN (INDIVIDUAL)
IL
Enumeration date
08/06/2008
Last updated
11/21/2017
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