Ovodov, Konstantin
Ovodov, Konstantin is an individual health care provider with primary practice located at 3700 California St , San Francisco CA 94118-1618. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Ovodov, Konstantin can be contacted via phone (415) 719-0000.Contact Information
Primary practice address
3700 California St
San Francisco CA 94118-1618
Phone: (415) 719-0000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A53866 | California |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | A53866 | California |
Profile Details
NPI number | 1164479309 |
---|---|
LBN Legal business name | Ovodov, Konstantin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 30th, 2006 |
Last updated | Jul 11th, 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 | 1164479309 | NPPES |
California | MEDICAID | 00A538660 |
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