Kotov, Petio Vladimirov
Kotov, Petio Vladimirov is an individual health care provider with primary practice located at 111 Colchester Ave , Burlington VT 05401-1473. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Cytopathology. Allopathic & Osteopathic Physicians / Cytopathology is his primary health care specialty. Kotov, Petio Vladimirov can be contacted via phone (802) 847-0000.Contact Information
Primary practice address
111 Colchester Ave
Burlington VT 05401-1473
Phone: (802) 847-0000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 4301087243 | Michigan |
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | 042-0015453 | Vermont |
Profile Details
| NPI number | 1790731651 |
|---|---|
| LBN Legal business name | Kotov, Petio Vladimirov |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Aug 25th, 2021 - about 4 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 | 1790731651 | NPPES |
| Michigan | Other | 0829560001 | MEDICARE DME |
| Michigan | MEDICAID | 4968078 | MEDICARE DME |
| Michigan | Other | PK087243 | MEDICARE DME |
| Michigan | Other | 0C16002 | MEDICARE DME |
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