Provider Demographics
NPI:1669673067
Name:KAVALI, SWETA (MD)
Entity Type:Individual
Prefix:
First Name:SWETA
Middle Name:
Last Name:KAVALI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:14911 STRAUB HILL LN
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-7969
Mailing Address - Country:US
Mailing Address - Phone:816-665-2079
Mailing Address - Fax:
Practice Address - Street 1:12990 MANCHESTER RD STE 201
Practice Address - Street 2:
Practice Address - City:DES PERES
Practice Address - State:MO
Practice Address - Zip Code:63131-1860
Practice Address - Country:US
Practice Address - Phone:314-909-0633
Practice Address - Fax:313-916-4460
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2011036539207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology