# DR. KEVIN DAWRAVOO

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

## Provider details

- **NPI number:** 1912163114
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036122919 | IL | — |
| 207RH0000X | Hematology (Internal Medicine) Physician | 036122919 | IL | — |
| 207RH0003X | Hematology & Oncology Physician | 036122919 | IL | Yes |

## Other

- **Enumeration date:** 08/06/2008
- **Last updated:** 11/21/2017

## 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 |