Provider Demographics
NPI:1972515294
Name:T REID KAVIEFF DO PC
Entity Type:Organization
Organization Name:T REID KAVIEFF DO PC
Other - Org Name:CENTER FOR COMPLEMENTARY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:T
Authorized Official - Middle Name:REID
Authorized Official - Last Name:KAVIEFF
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-926-6222
Mailing Address - Street 1:2300 HAGGERTY RD
Mailing Address - Street 2:SUITE 1120
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-2184
Mailing Address - Country:US
Mailing Address - Phone:248-926-6222
Mailing Address - Fax:248-926-6575
Practice Address - Street 1:2300 HAGGERTY RD
Practice Address - Street 2:SUITE 1120
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48323-2184
Practice Address - Country:US
Practice Address - Phone:248-926-6222
Practice Address - Fax:248-926-6575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Multi-Specialty
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0N94980Medicare ID - Type Unspecified