Provider Demographics
NPI:1053871210
Name:CABRERA, KEVEN I (MD)
Entity type:Individual
Prefix:DR
First Name:KEVEN
Middle Name:I
Last Name:CABRERA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2929 ARCH ST
Mailing Address - Street 2:CIRA CENTER 12TH FL
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-2857
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3401 CIVIC CENTER BLVD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4319
Practice Address - Country:US
Practice Address - Phone:267-408-4574
Practice Address - Fax:718-652-6692
Is Sole Proprietor?:No
Enumeration Date:2019-03-23
Last Update Date:2024-06-25
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Provider Licenses
StateLicense IDTaxonomies
PAMD4816292080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine