Provider Demographics
NPI:1487608915
Name:KAYFES, MAREVE (MD)
Entity type:Individual
Prefix:
First Name:MAREVE
Middle Name:
Last Name:KAYFES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7505 METRO BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55439-3010
Mailing Address - Country:US
Mailing Address - Phone:612-573-2200
Mailing Address - Fax:612-573-2274
Practice Address - Street 1:7505 METRO BLVD STE 400
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55439
Practice Address - Country:US
Practice Address - Phone:612-573-2200
Practice Address - Fax:612-573-2274
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN376472085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN121378OtherUCARE
IA0567222Medicaid
MN498822100Medicaid
WI32052300Medicaid
MN357J4KAOtherBLUE CROSS
MNHP39402OtherHEALTHPARTNERS
MN1013633OtherPREFERRED ONE
MN1602430OtherMEDICA
MNP00047567OtherRAILROAD MEDICARE MN
MN793638OtherAMERICA'S PPO
WI002456135Medicare PIN
MN1602430OtherMEDICA
MN498822100Medicaid
MNP00047567OtherRAILROAD MEDICARE MN
MN121378OtherUCARE
MN300003049Medicare PIN