Individual
DR. KALYANI GAVINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6000 BOND AVE, CENTREVILLE, IL 62207-2328
(618) 332-2083
(618) 337-6039
Mailing address
6000 BOND AVE, CENTREVILLE, IL 62207-2328
(618) 332-2083
(618) 337-6039
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036119523
IL
2084P0804X
Child & Adolescent Psychiatry Physician
2014023572
MO
Other
Enumeration date
02/23/2007
Last updated
10/14/2024
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