Individual
SIMONE CRIVELLARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036174667
IL
208800000X
Urology Physician
2007-00873
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147F0
BCBS
NC
05
—
1730382201
—
VA
01
—
202774
MEDCOST
NC
05
—
3810009657
—
WV
05
—
5907682
—
NC
01
—
812200
PARTNERS
NC
01
—
AETNA
9286104
NC
05
—
Q73007
—
SC
Enumeration date
06/11/2007
Last updated
05/27/2025
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