Individual
NEVIANA G. DIMOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4100 TAYLOR BLVD, LOUISVILLE, KY 40215-2342
(502) 953-4700
(502) 772-8189
Mailing address
PO BOX 950244, LOUISVILLE, KY 40295-0244
(502) 953-4700
(502) 772-8189
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
21469
PR
208D00000X
General Practice Physician
Primary
58646
KY
208D00000X
General Practice Physician
ACN1440
FL
390200000X
Student in an Organized Health Care Education/Training Program
14862
PR
Other
Enumeration date
06/02/2019
Last updated
03/07/2024
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