Individual
DANIEL A KOVNAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 989-6130
(505) 820-5408
Mailing address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 989-6130
(505) 820-5408
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200058
NM
208M00000X
Hospitalist Physician
Primary
2000-58
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202018055
PRESBYTERIAN HEALTH PLANS
—
01
—
2340234
UHC
—
05
—
69906
—
NM
01
—
QMP000003381633
MOLINA
—
Enumeration date
08/07/2006
Last updated
07/20/2012
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