Petio Vladimirov Kotov in Hancock - Anatomic Pathology & Clinical Pathology

Petio Vladimirov Kotov - NPI 1790731651

Petio Vladimirov Kotov is a Anatomic Pathology & Clinical Pathology in Hancock, Michigan. Petio Vladimirov Kotov practices all healthcare services and medical treatments related to Anatomic Pathology & Clinical Pathology. The NPI Number for Petio Vladimirov Kotov is 1790731651. The last update date is 2021-08-25.

Petio Vladimirov Kotov's current location address is 500 Campus Dr., Hancock, Michigan. You can contact this provider via phone number 9060483100. The mailing address for Petio Vladimirov Kotov is 500 Campus Dr., Hancock, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Petio Vladimirov Kotov
Address 500 Campus Dr., Hancock, Michigan
Phone Number 9060483100
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1790731651
Provider Enumeration Date 2006-05-25
Last Updated Date 2021-08-25

Provider Mailing Address Detail

Address 500 Campus Dr.
City Hancock
State Michigan (MI)
Post Code 499301569
Phone Number 9060483100
Fax Number

Provider's Primary Taxonomy Detail

Speciality Anatomic Pathology & Clinical Pathology
Taxonomy 207Zp0102X
Licence No 4301087243
Definition:
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
829560001 MI MEDICARE DME
4968078 MI --
PK087243 MI BLUE CROSS STATE ID
0C16002 MI MEDICARE GROUP

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FAQs about Petio Vladimirov Kotov

What is the Petio Vladimirov Kotov's 1790731651?

The Petio Vladimirov Kotov's NPI (National Provider Identifier) Number is 1790731651. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Petio Vladimirov Kotov?

The Petio Vladimirov Kotov is situated at 500 Campus Dr., in the city of Hancock, state of MI, with the zip code 499301569.

What is Petio Vladimirov Kotov's specialized field of practice, and what is the corresponding taxonomy classification code?

The Petio Vladimirov Kotov's area of specialization is Anatomic Pathology & Clinical Pathology, and the corresponding taxonomy code that categorizes this field of practice is 207Zp0102X.

On what date did the Petio Vladimirov Kotov receive its 1790731651 assignment from the Centers for Medicare & Medicaid Services?

The Petio Vladimirov Kotov was assigned its 1790731651 by the Centers for Medicare & Medicaid Services on 2006-05-25.

As of what date were the Petio Vladimirov Kotov's details last updated?

The information pertaining to the Petio Vladimirov Kotov, including its address, specialty, and other details, was most recently updated on 2021-08-25.

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