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NPI Code Detail

MEDICARE: DR. JOSE CALVO MD

MEDICARE:  DR. JOSE  CALVO  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianNC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
7805300OTHERNCPARTNERS MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17477640OTHERNCAETNA
2138G7OTHERNCBCBS OF NC
36753027OTHERNCCIGNA HEALTHCARE
4D8604OTHERNCMEDCOST
52489019OTHERNCUNITED HEALTHCARE
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578560157
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSE CALVO MD
Provider Business Mailing Address
First Line : PO BOX 249
Second Line :
City : YADKINVILLE
State : NC
Zip : 27055-0249
Country : US
Telephone Number : 336-679-4963
Fax Number : 336-679-2549
Provider Business Practice Location Address
First Line : 1909 W PARK DR
Second Line :
City : NORTH WILKESBORO
State : NC
Zip : 28659-3564
Country : US
Telephone Number : 336-667-1001
Fax Number : 336-667-1422
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 07/09/2007

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Directions to “ DR. JOSE CALVO MD” Practice Location

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