Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0102X | Surgical Critical Care | 35071444N | OH |
NPI | 1265435820 |
---|---|
Provider Name | Dr. Rachel L. Novakovic |
First Address | Toledo, OH 43608 |
Second Address | Toledo, OH 43608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2005 |
Last Update Date | 12/06/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000223900 | ANTHEM (01) | |
020052295 | RAILROAD MEDICARE (01) | OH |
02937 | PARAMOUNT (01) | |
104389727 | MICHIGAN MEDICAID (01) | MI |
1701443 | UNITED HEALTH CARE (01) | |
2032875 | (05) | OH |
2032875 | BUCKEYE COMMUNITY HEALTH PLAN (01) | |
2450445006 | CIGNA (01) | |
26387 | NATIONWIDE (01) | |
5445556 | AETNA (01) | |
704774 | FAMILY HEALTH PLAN (01) | |
F41723 | (02) | OH |