Individual
JOSE GABRIEL IMPROVOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2325 18TH ST, SUITE 130, COLUMBUS, IN 47201-5388
(812) 379-2020
Mailing address
2325 18TH ST, SUITE 130, COLUMBUS, IN 47201-5388
(812) 379-2020
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101268367
VA
207RC0000X
Cardiovascular Disease Physician
Primary
01073737A
IN
207RC0000X
Cardiovascular Disease Physician
35.138633
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000990788
ANTHEM PIN
IN
05
—
201229440
—
IN
05
—
2565399
—
OH
Enumeration date
04/21/2010
Last updated
04/13/2021
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