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Individual

DR. STEPHEN M. KAVIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6897
(410) 328-2109
Mailing address
PO BOX 64226, BALTIMORE, MD 21264-4742
(410) 328-6897
(410) 328-2109

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D65175
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0107
CAREFIRST REGIONAL
MD
01
1703690
UNITED HLTHCARE
MD
01
2132433
MDIPA
MD
01
252642
KAISER
MD
01
2563155
UNITED HLTHCARE NATIONAL
MD
01
64796501
BLUE SHIELD
MD
01
94519
GEISINGER
MD
Enumeration date
07/27/2006
Last updated
02/04/2008
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