Vivina Covacha Rosal in West Bloomfield - Adult Medicine

Vivina Covacha Rosal - NPI 1336352509

Vivina Covacha Rosal is a Adult Medicine in West Bloomfield, Michigan. Vivina Covacha Rosal practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Vivina Covacha Rosal is 1336352509. The last update date is 2011-10-21.

Vivina Covacha Rosal's current location address is 5460 Doherty St, West Bloomfield, Michigan. You can contact this provider via phone number 2488519689. The mailing address for Vivina Covacha Rosal is 5460 Doherty St, West Bloomfield, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Vivina Covacha Rosal
Address 5460 Doherty St, West Bloomfield, Michigan
Phone Number 2488519689
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1336352509
Provider Enumeration Date 2007-05-07
Last Updated Date 2011-10-21

Provider Mailing Address Detail

Address 5460 Doherty St
City West Bloomfield
State Michigan (MI)
Post Code 483233419
Phone Number 2488519689
Fax Number

Provider's Primary Taxonomy Detail

Speciality Adult Medicine
Taxonomy 207Qa0505X
Licence No 4301034721
Definition:
The NUCC recommends this code not be used. Choose a more appropriate code.

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FAQs about Vivina Covacha Rosal

What is the unique identification code assigned to Vivina Covacha Rosal by the Centers for Medicare & Medicaid Services?

The Vivina Covacha Rosal has been issued the NPI (National Provider Identifier) 1336352509. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Vivina Covacha Rosal's physical address?

The Vivina Covacha Rosal is physically located at 5460 Doherty St, in the city of West Bloomfield, MI, with the postal code 483233419.

What is Vivina Covacha Rosal's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Vivina Covacha Rosal's specialized field of practice is Adult Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qa0505X.

On what date did the Centers for Medicare & Medicaid Services issue the 1336352509 to Vivina Covacha Rosal?

The Vivina Covacha Rosal received its 1336352509 assignment from the Centers for Medicare & Medicaid Services on 2007-05-07.

As of what date was the information pertaining to Vivina Covacha Rosal, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Vivina Covacha Rosal, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-10-21.

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