Provider Demographics
NPI:1710094321
Name:IOVANEL, MIHAELA (MD)
Entity Type:Individual
Prefix:MRS
First Name:MIHAELA
Middle Name:
Last Name:IOVANEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 NATE WHIPPLE HWY
Mailing Address - Street 2:SUITE 208
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864
Mailing Address - Country:US
Mailing Address - Phone:401-658-0511
Mailing Address - Fax:401-658-3140
Practice Address - Street 1:175 NATE WHIPPLE HWY
Practice Address - Street 2:SUITE 208
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864
Practice Address - Country:US
Practice Address - Phone:401-658-0511
Practice Address - Fax:401-658-3140
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI09487207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
401293OtherUNITED
RI9022180Medicaid
G51549Medicare UPIN
RI9022180Medicaid