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Dr. Kelli Raynell Favata, M.D.

Vascular Specialist/Technologist Cardiovascular in Gilbert, AZ · enumerated 2007 · practices at Gerihealth LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184822348

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Registry record

Entity type Individual (Type 1)
Name Dr. Kelli Raynell Favata
Credential M.D.
Sex Female
Practice address 3530 S Val Vista Dr Ste B210, Gilbert, AZ, 85297
Phone (800) 991-6117
Enumeration date Jul 10, 2007
Last updated in NPPES Feb 15, 2025

Taxonomy & licenses

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 30177 (SC) Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 45344 (AZ) Secondary
246XC2903X Vascular Specialist/Technologist Cardiovascular Technologists, Technicians & Other Technical Service Providers · License 45344 (AZ) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
654974 Medicaid AZ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Kelli Favata?
The National Provider Identifier (NPI) for Kelli Favata is 1184822348, a Type 1 (individual) record in the CMS NPPES registry.
Where does Kelli Favata practice?
The practice location on file with NPPES is in Gilbert, AZ. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-02-15.