Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLI RAYNELL FAVATA, M.D.
ActiveDR. KELLI RAYNELL FAVATA, M.D. is a 246XC2903X healthcare provider located in GILBERT, Arizona. NPI 1184822348 is currently active in the NPPES registry. Verify at CMS.
246XC2903X · GILBERT, AZ
Registration Details
- NPI Number
- 1184822348
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 10, 2007 (19.112863622847 yrs)
- Last Updated
- Feb 15, 2025
- Licenses
-
30177 (SC)45344 (AZ)45344 (AZ)
Practice Information
- Address
-
3530 S VAL VISTA DR STE B210GILBERT, AZ, 852977318Browse AZ providers · Browse ZIP 85297
- Phone
- 8009916117
- Primary Specialty
-
246XC2903X
246XC2903X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- 246XC2903X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.