Individual
DMITRI KOVALEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 INNOVATION DR STE 350, GREENVILLE, SC 29607-5269
(864) 516-1170
(877) 249-9483
Mailing address
PO BOX 631341, CINCINNATI, OH 45263-1341
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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