NPI 1891739991 · live from the CMS NPI Registry
Michael T Canavan, DPM
Podiatrist in Danville, VA. National Provider Identifier 1891739991, active.
NPI record
| NPI | 1891739991 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 789 Piney Forest Rd, Suite B, Danville, VA 24540 |
| Practice phone | 434-799-9430 |
| Enumerated | June 16, 2006 |
| Last updated | March 29, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 0103 000583 (VA) |
| Podiatrist | 213E00000X | 219 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.