Individual
DR. KAVITA IYENGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
108 FORBES STREET, SECOND FLOOR, ANNAPOLIS, MD 21401-1501
(410) 571-7880
(410) 571-0362
Mailing address
P.O. BOX 64131, BALTIMORE, MD 21264-4131
(443) 481-6566
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0070736
MD
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D70736
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008
CAREFIRST DC
—
05
—
540054600
—
MD
01
—
6350138
AETNA HMO
—
01
—
6493338
AETNA HMO SILVER SPRING
—
01
—
9291577
AETNA PPO
—
01
—
97179501
CAREFIRST MD (FORBES STREET)
—
01
—
97179502
CAREFIRST MD (PRINCE FREDERICK)
—
01
—
97179503
CAREFIRST MD (SILVER SPRING)
—
Enumeration date
11/27/2007
Last updated
12/06/2011
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