Basic Information
Provider Information
NPI: 1821055013
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROVNAN
FirstName: KARINA
MiddleName: HELENE
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 252 BREWER RD
Address2:  
City: SAXONBURG
State: PA
PostalCode: 160562308
CountryCode: US
TelephoneNumber: 7244487963
FaxNumber:  
Practice Location
Address1: 320 E NORTH AVE
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152124772
CountryCode: US
TelephoneNumber: 4123594971
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/01/2006
LastUpdateDate: 09/30/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/30/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000XMA052276PAN Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 
207R00000XOT019096PAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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