Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cody Alexander Canavan, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1538809504

Cody Alexander Canavan, MD is a Student in an Organized Health Care Education/Training Program in Charlotte, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1350 S Kings Dr Fl 3
Charlotte, NC 28207-2134
Phone: (704) 446-1242
Fax: (704) 446-1241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1538809504
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 29, 2022
Last updated in NPPESMarch 29, 2022
Certification dateMarch 29, 2022

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