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

Kaavya Reddy Matatova, MD

Individual provider Surgery Physician · NPI 1649413089

Kaavya Reddy Matatova, MD is a Surgery Physician in Phoenix, Arizona. Licensed in Arizona and Louisiana. Registered with an NPI since 2009.

Licensed in
AZ, LA
In the registry since
2009
Specialties on file
2
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

19646 N 27th Ave Ste 201
Phoenix, AZ 85027-4026
Phone: (602) 663-9371
Fax: (602) 456-6887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 52218 (AZ)
Surgery Physician Taxonomy 208600000X · Licence MD.206827 (LA)

Record details

NPI number1649413089
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2009
Last updated in NPPESMarch 4, 2020
Certification dateMarch 4, 2020

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