Provider Demographics
NPI:1780008748
Name:KAVI, TAPAN (MD)
Entity type:Individual
Prefix:DR
First Name:TAPAN
Middle Name:
Last Name:KAVI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 S FAIRFAX AVE
Mailing Address - Street 2:APT 4
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-4433
Mailing Address - Country:US
Mailing Address - Phone:516-610-7571
Mailing Address - Fax:
Practice Address - Street 1:3555 OLENTANGY RIVER RD STE 2002
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3910
Practice Address - Country:US
Practice Address - Phone:614-533-5500
Practice Address - Fax:614-533-0103
Is Sole Proprietor?:No
Enumeration Date:2014-02-12
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1432702084N0400X
NJ25MA098236002084N0400X
IN01082018A2084N0400X
MI43015007412084N0400X
IL0361509362084N0400X
OH35.1373742084N0400X, 2084A2900X
MO20190171272084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurocritical Care
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology