IndividualActive
Alim Vivanco
NPI 1881977171 · General Practice Physician · Beavercreek, OH
Provider details
- NPI number
- 1881977171
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
- License
- 23558185 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2641 Hibiscus Way
Apt 312
Beavercreek, OH 45431-2393
Phone: (937) 830-0114
Approximate (ZIP-level) locationGet directions
Mailing address
2641 Hibiscus Way
Beavercreek, OH 45431-2393
Registry dates
- Enumerated
- 2011-09-22
- Last updated
- 2011-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.