Individual
DR. OLIVIA IVY
Active
Individual
DR. OLIVIA IVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D. MPH AAHIVS
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT197947
PA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
S6386
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
322610
LOUISIANA MEDICAL LICENSE
LA
01
—
MT197947
PA TRAINING LICENSE
PA
01
—
S6386
TEXAS MEDICAL LICENSE
TX
Enumeration date
12/02/2010
Last updated
01/14/2026
Update your record
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