NPI 1407866296 · live from the CMS NPI Registry
Timothy Patrick Canavan, MD
Obstetrics & Gynecology, Maternal & Fetal Medicine in Syracuse, NY. National Provider Identifier 1407866296, active.
NPI record
| NPI | 1407866296 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology, Maternal & Fetal Medicine 207VM0101X |
| Practice location | 90 Presidential Plaza, 3rd Fl, Syracuse, NY 13202 |
| Practice phone | 315-464-4458 |
| Enumerated | August 8, 2006 |
| Last updated | October 3, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology, Maternal & Fetal Medicine | 207VM0101X | MD052441L (PA) |
| Obstetrics & Gynecology, Maternal & Fetal Medicine | 207VM0101X | MD59651 (TN) |
| Obstetrics & Gynecology, Maternal & Fetal Medicine primary | 207VM0101X | 179108 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.