Whalio Doctors

NPI 1184822348

Kelli Raynell Favata, MD

Practitioner Vascular Specialist/Technologist Cardiovascular Gilbert, AZ

Practice location

Address
3530 S Val Vista Dr STE B210, Gilbert, AZ 85297-7318
Phone
(800) 991-6117
Mailing address
3820 Northdale Blvd STE 201, Tampa, FL 33624-1893

Registered specialties (3)

Vascular Specialist/Technologist Cardiovascular Primary
Technologists, Technicians & Other Technical Service Providers Taxonomy 246XC2903X Licence 45344 (AZ)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 30177 (SC)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 45344 (AZ)

Registry record

NPI
1184822348
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Jul 2007
Record last updated
15 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.