Individual
MICHAEL ANTHONY COVELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 ARH LN 102, LOW MOOR, VA 24457
(540) 862-6777
(540) 863-9167
Mailing address
200 ARH LN 102, LOW MOOR, VA 24457
(540) 862-6777
(540) 863-9167
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
0101260875
VA
2086X0206X
Surgical Oncology Physician
17901
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00247564
RAILROAD MEDICARE
—
Enumeration date
04/13/2006
Last updated
11/08/2016
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