| Organization Name: | GAVINI MEDICAL GROUP,LTD |
| NPI Number: | 1912014606 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAURA ANNETTE HAWKINS (OFFICE MANAGER) |
| Mailing Address: | 10000 Watson Rd 2l-24 Saint Louis |
| State: | MO US |
| Postal Code: | 631261854 |
| Phone Number: | 3148227033 |
| Fax Number: | 3148223666 |
| NPI Enumeration Date: | 08/25/2006 |
| NPI Last Update Date: | 09/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | R6940 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |