Gavazov, Miroslav
Gavazov, Miroslav is an individual health care provider with primary practice located at 861 Berkshire Rd , Smithfield NC 27577-4728. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gavazov, Miroslav can be contacted via phone (919) 934-0985.Contact Information
Primary practice address
861 Berkshire Rd
Smithfield NC 27577-4728
Phone: (919) 934-0985
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9700253 | North Carolina |
Profile Details
| NPI number | 1154305498 |
|---|---|
| LBN Legal business name | Gavazov, Miroslav |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154305498 | NPPES |
| North Carolina | MEDICAID | 891082G |
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