Victor San Martin Carvalho Correa, MD
Student in an Organized Health Care Education/Training Program in Kansas City, MO. Individual provider (NPI-1).
NPI number1043064355
StatusActive
Last updated in NPPESApr 15, 2024
Details
- NPI
- 1043064355
- Entity type
- Individual (NPI-1)
- Name
- Victor San Martin Carvalho Correa
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 15, 2024
- Certification date
- Apr 13, 2024
- Last updated
- Apr 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
2301 Holmes StKansas City, MO 64108-2640
Phone 816-404-4175 · Fax 816-404-0003
Mailing address
2301 Holmes StKansas City, MO 64108-2640
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