Provider Demographics
NPI:1578263182
Name:NATUVA, LOSANA VEIQARAVI (MBBS)
Entity Type:Individual
Prefix:DR
First Name:LOSANA
Middle Name:VEIQARAVI
Last Name:NATUVA
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TAFUNA CLINIC, PAGO PAGO
Mailing Address - Street 2:
Mailing Address - City:PAGOPAGO
Mailing Address - State:AS
Mailing Address - Zip Code:96799
Mailing Address - Country:US
Mailing Address - Phone:684-688-7822
Mailing Address - Fax:
Practice Address - Street 1:LEONE CLINIC, LEONE
Practice Address - Street 2:
Practice Address - City:PAGOPAGO
Practice Address - State:AS
Practice Address - Zip Code:96799
Practice Address - Country:US
Practice Address - Phone:684-688-7822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AS4116C208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AS09101016162Medicaid