Individual
DMITRI KOVALEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
89512
SC
2084N0400X
Neurology Physician
BP10063903
TX
Other
Enumeration date
07/09/2018
Last updated
07/24/2024
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