Ivanov, Vadim Anatolyevich
Ivanov, Vadim Anatolyevich is an individual health care provider with primary practice located at 1200 Everett Dr 7Fnp, Oklahoma City OK 73104-5047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Ivanov, Vadim Anatolyevich can be contacted via phone (405) 271-5215.Contact Information
Primary practice address
1200 Everett Dr 7Fnp
Oklahoma City OK 73104-5047
Phone: (405) 271-5215
Fax: (405) 271-1236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 27513 | Oklahoma |
Profile Details
| NPI number | 1346577012 |
|---|---|
| LBN Legal business name | Ivanov, Vadim Anatolyevich |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2009 |
| Last updated | Jan 26th, 2011 - about 13 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.
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