Provider Demographics
NPI:1831917962
Name:KAVEGOVAN, DENISE M
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:M
Last Name:KAVEGOVAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3506 24TH ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-2957
Mailing Address - Country:US
Mailing Address - Phone:301-502-0148
Mailing Address - Fax:
Practice Address - Street 1:2900 NEWTON ST NE APT 410
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-2906
Practice Address - Country:US
Practice Address - Phone:202-365-5744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant