Pavlov, John

Pavlov, John is an individual health care provider with primary practice located at 2819 Denny Ave , Pascagoula MS 39581-5301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Pavlov, John can be contacted via phone (228) 762-3466.

Contact Information

Primary practice address
2819 Denny Ave Pascagoula MS 39581-5301
Phone: (228) 762-3466
Fax: (228) 762-6349
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MS11764 Mississippi
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11764 Mississippi

Profile Details

NPI number 1124179791
LBN Legal business name Pavlov, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Dec 22nd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124179791 NPPES
Mississippi MEDICAID 00012527
Mississippi Other 080186277
Mississippi Other 646000515
Mississippi Other 646000515
Mississippi MEDICAID 009928105

Popular Providers