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NPI Code Detail

MEDICARE: DR. FRANK RIVAS M.D.

MEDICARE: DR. FRANK RIVAS 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
1207RI0011XInterventional Cardiology Physician12133WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588711089
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FRANK RIVAS M.D.
Provider Business Mailing Address
First Line : 1302 4TH AVE
Second Line : P O BOX 9129
City : HUNTINGTON
State : WV
Zip : 25701-2401
Country : US
Telephone Number : 304-529-3223
Fax Number : 304-522-2781
Provider Business Practice Location Address
First Line : 1302 4TH AVE
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-2401
Country : US
Telephone Number : 304-529-3223
Fax Number : 304-522-2781
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2007
Last Update Date : 07/08/2007

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Directions to “ DR. FRANK RIVAS M.D.” Practice Location

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