Dr. Larisa Gabriela Kovacevic
Pediatric Nephrologist
3901 Beaubien St
Detroit
, Michigan 48201-2119
Dr. Larisa Gabriela Kovacevic
Pediatric Nephrologist
3901 Beaubien St
Detroit
, Michigan 48201-2119
(248) 743-0114
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About
Features
Specialties
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Larisa Gabriela Kovacevic
- 1835 Van Courtland Dr
- Troy, MI
- Zip : 48083-1881
- Phone : (248) 743-0114
Second Address
- Dr. Larisa Gabriela Kovacevic
- 3901 Beaubien St
- Detroit, MI
- Zip : 48201-2119
- Phone : (313) 745-5505
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0210X | Pediatric Nephrologist | 4301083506 | MI |
National Provider Identifier
| NPI | 1063688760 |
|---|---|
| Provider Name | Dr. Larisa Gabriela Kovacevic |
| First Address | Troy, MI 48083-1881 |
| Second Address | Detroit, MI 48201-2119 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2008 |
| Last Update Date | 02/05/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.