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NPI Code Detail

MEDICARE: STEFAN MONEV M.D.

MEDICARE:   STEFAN  MONEV  M.D.
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
1207RR0500XRheumatology Physician01060413IN

Other Identifiers

General Provider Information

NPI Number : 1437125911
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEFAN MONEV M.D.
Provider Business Mailing Address
First Line : PO BOX 781076
Second Line :
City : DETROIT
State : MI
Zip : 48278-1076
Country : US
Telephone Number : 317-528-4800
Fax Number : 317-865-1479
Provider Business Practice Location Address
First Line : 5255 E STOP 11 RD STE 320
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-6341
Country : US
Telephone Number : 317-888-1467
Fax Number : 317-888-1476
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2006
Last Update Date : 07/20/2023

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