Individual provider · Type 1 NPI

Kelli Raynell Favata, MD

Vascular Specialist/Technologist Cardiovascular · Gilbert, AZ

NPI number 1184822348 Active

Practice location

3530 S Val Vista Dr Ste B210
Gilbert, AZ 85297-7318

Mailing address

3820 Northdale Blvd Ste 201
Tampa, FL 33624-1893

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X30177 (SC)
Internal Medicine Physician 207R00000X45344 (AZ)
Vascular Specialist/Technologist Cardiovascular Primary 246XC2903X45344 (AZ)

Vascular Specialist/Technologist Cardiovascular: A vascular technologist, also known as a vascular sonographer, creates images of blood vessels and collects data that help physicians diagnose disorders affecting blood flow. Vascular technologists often evaluate blood flow and identify blocked arteries or blood clots.

Another provider at this address

About NPI 1184822348

Kelli Raynell Favata, MD's National Provider Identifier is 1184822348, issued on Jul 10, 2007. The primary taxonomy on file is Vascular Specialist/Technologist Cardiovascular (246XC2903X), and the practice location is in Gilbert, AZ. The record was last updated on Feb 15, 2025.