Active NPI
Evangelos P Gavathas, PH.D.
- Radiological Physics Physician
- Miami, FL
National Provider Identifier
1255682936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiological Physics Physician
- License
- TRP-366
- Practice address
- 6825 SW 87TH Ave
Miami, FL 33173-2502 - Phone
- (786) 466-7201
- NPI assigned
- Sep 21, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiological Physics Physician | 2085R0205X | TRP-366 | FL | Primary |
Addresses
Primary practice location
6825 SW 87TH Ave
Miami, FL 33173-2502
Mailing address
PO Box 266173
Weston, FL 33326-6173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRP-366 | FL | MD | Radiological Physics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348185600000",
"number": "1255682936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 266173",
"city": "WESTON",
"state": "FL",
"postal_code": "333266173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6825 SW 87TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331732502",
"telephone_number": "786-466-7201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAVATHAS",
"first_name": "EVANGELOS",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-21",
"last_updated": "2012-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0205X",
"taxonomy_group": "",
"desc": "Radiology, Radiological Physics",
"state": "FL",
"license": "TRP-366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.