Boris V Bogomilov in Fayetteville - Clinical Cardiac Electrophysiology

Boris V Bogomilov - NPI 1790749638

Boris V Bogomilov is a Clinical Cardiac Electrophysiology in Fayetteville, Arkansas. Boris V Bogomilov practices all healthcare services and medical treatments related to Clinical Cardiac Electrophysiology. The NPI Number for Boris V Bogomilov is 1790749638. The last update date is 2023-03-07.

Boris V Bogomilov's current location address is 3211 N Northhills Blvd, Fayetteville, Arkansas. You can contact this provider via phone number 4795714338 and fax number 4795714015. The mailing address for Boris V Bogomilov is 3211 N Northhills Blvd, Fayetteville, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Boris V Bogomilov
Address 3211 N Northhills Blvd, Fayetteville, Arkansas
Phone Number 4795714338
Fax Number 4795714015
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1790749638
Provider Enumeration Date 2006-04-17
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 3211 N Northhills Blvd
City Fayetteville
State Arkansas (AR)
Post Code 727034007
Phone Number 4795714338
Fax Number 4795714015

Provider's Primary Taxonomy Detail

Speciality Clinical Cardiac Electrophysiology
Taxonomy 207Rc0001X
Licence No E4311
Definition:
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
E4311 AR STATE LICENSE
156638001 AR --
5020011800 AR QUALCHOICE
200005240A OK --
7934401 AR AETNA
207453101 MO --

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FAQs about Boris V Bogomilov

What is the unique 10-digit identifier code assigned to Boris V Bogomilov by the Centers for Medicare & Medicaid Services?

The Boris V Bogomilov has been issued the NPI (National Provider Identifier) 1790749638 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Boris V Bogomilov's physical address?

The Boris V Bogomilov is physically located at 3211 N Northhills Blvd, in the city of Fayetteville, AR, with the postal code 727034007.

What is the Boris V Bogomilov's area of specialization and corresponding taxonomy classification?

The Boris V Bogomilov's specialty field is Clinical Cardiac Electrophysiology, and it falls under the taxonomy code 207Rc0001X, which categorizes healthcare providers based on their specialties.

When did the Boris V Bogomilov receive its 1790749638?

The Boris V Bogomilov was issued its 1790749638 on 2006-04-17, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Boris V Bogomilov last refreshed?

The information related to the Boris V Bogomilov, including its address, specialty, and other relevant details, was last updated on 2023-03-07.

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