Individual
EDUARDO ALFREDO RIVAS - PARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3800
(205) 322-1808
(205) 322-1851
Mailing address
PO BOX 714960, COLUMBUS, OH 43271-4960
(205) 322-1808
(205) 322-1851
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
12809
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001720969
BCBS
WV
05
—
0057987000
—
WV
05
—
0775399
—
OH
01
—
1027242
WORKERS' COMP
WV
05
—
64697931
—
KY
01
—
P00249933
PALMETTO GBA-RR MEDICARE
—
Enumeration date
10/20/2006
Last updated
11/12/2014
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