Provider Demographics
NPI:1265799456
Name:KOVAIS MEDICAL SERVICES
Entity type:Organization
Organization Name:KOVAIS MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:T
Authorized Official - Last Name:DOLBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-310-2551
Mailing Address - Street 1:8811 LOTTSFORD RD
Mailing Address - Street 2:#335
Mailing Address - City:LARGO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-4836
Mailing Address - Country:US
Mailing Address - Phone:301-310-2551
Mailing Address - Fax:301-324-0345
Practice Address - Street 1:8811 LOTTSFORD RD
Practice Address - Street 2:#335
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-4836
Practice Address - Country:US
Practice Address - Phone:301-310-2551
Practice Address - Fax:301-324-0345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-12
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health