Provider Demographics
NPI:1306993290
Name:COVARRUBIAS, MINERVA B (MD)
Entity type:Individual
Prefix:DR
First Name:MINERVA
Middle Name:B
Last Name:COVARRUBIAS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 23229
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42304-3229
Mailing Address - Country:US
Mailing Address - Phone:270-688-1330
Mailing Address - Fax:270-688-1338
Practice Address - Street 1:440 HOPKINSVILLE ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:KY
Practice Address - Zip Code:42345-1124
Practice Address - Country:US
Practice Address - Phone:270-338-8300
Practice Address - Fax:270-338-8427
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2024-10-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KYTP344207RP1001X
KY59962207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3725122Medicaid
3725122Medicare PIN