Rafanov, Vladimir
Rafanov, Vladimir is an individual health care provider with primary practice located at 804 Harbor Blvd , West Sacramento CA 95691-2202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Rafanov, Vladimir can be contacted via phone (916) 371-1616.Contact Information
Primary practice address
804 Harbor Blvd
West Sacramento CA 95691-2202
Phone: (916) 371-1616
Fax: (916) 979-1110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | A56344 | California |
Profile Details
| NPI number | 1477537413 |
|---|---|
| LBN Legal business name | Rafanov, Vladimir |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Oct 22nd, 2014 - about 10 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 | 1477537413 | NPPES |
| California | MEDICAID | 00A563440 | |
| California | MEDICAID | 00A563441 |
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