NPI Code Details Logo

NPI 1770536179

NPI 1770536179 : DAVID KOVAR M.D. : ST LOUIS PARK, MN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1770536179
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    DAVID KOVAR M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/18/2006
-----------------------------------------------------
    Last Update Date     |    04/22/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    6500 EXCELSIOR BLVD 
-----------------------------------------------------
    City                 |    ST LOUIS PARK
-----------------------------------------------------
    State                |    MN
-----------------------------------------------------
    Zip                  |    55426-4702
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    952-993-3246
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    8170 33RD AVE S # MS 21110Q 
-----------------------------------------------------
    City                 |    BLOOMINGTON
-----------------------------------------------------
    State                |    MN
-----------------------------------------------------
    Zip                  |    55425-4516
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RC0000X
-----------------------------------------------------
    Taxonomy Name        |    Cardiovascular Disease Physician
-----------------------------------------------------
    License Number       |    43797
-----------------------------------------------------
    License Number State |    CO
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207RC0000X
-----------------------------------------------------
    Taxonomy Name        |    Cardiovascular Disease Physician
-----------------------------------------------------
    License Number       |    73650
-----------------------------------------------------
    License Number State |    MN
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207RI0011X
-----------------------------------------------------
    Taxonomy Name        |    Interventional Cardiology Physician
-----------------------------------------------------
    License Number       |    2886-320
-----------------------------------------------------
    License Number State |    WI
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    207RI0011X
-----------------------------------------------------
    Taxonomy Name        |    Interventional Cardiology Physician
-----------------------------------------------------
    License Number       |    43797
-----------------------------------------------------
    License Number State |    CO
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    207RI0011X
-----------------------------------------------------
    Taxonomy Name        |    Interventional Cardiology Physician
-----------------------------------------------------
    License Number       |    122618
-----------------------------------------------------
    License Number State |    MT
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    207UN0901X
-----------------------------------------------------
    Taxonomy Name        |    Nuclear Cardiology Physician
-----------------------------------------------------
    License Number       |    73650
-----------------------------------------------------
    License Number State |    MN
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    207UN0901X
-----------------------------------------------------
    Taxonomy Name        |    Nuclear Cardiology Physician
-----------------------------------------------------
    License Number       |    43797
-----------------------------------------------------
    License Number State |    CO
-----------------------------------------------------
Taxonomy #8
-----------------------------------------------------
    Taxonomy Code        |    207RI0011X
-----------------------------------------------------
    Taxonomy Name        |    Interventional Cardiology Physician
-----------------------------------------------------
    License Number       |    73650
-----------------------------------------------------
    License Number State |    MN
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.