Provider Demographics
NPI:1356350706
Name:KAVIEFF, ROBERT DOUGLAS (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DOUGLAS
Last Name:KAVIEFF
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1618 W BAKER RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-2280
Mailing Address - Country:US
Mailing Address - Phone:281-427-1450
Mailing Address - Fax:281-427-9440
Practice Address - Street 1:1618 W BAKER RD
Practice Address - Street 2:SUITE A
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-2280
Practice Address - Country:US
Practice Address - Phone:281-427-1450
Practice Address - Fax:281-427-9440
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2015-06-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG9978207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00T90EMedicaid
TX00T90EMedicaid
TX00T90EMedicare PIN