Alexander Vladimirov Otellin in South Charleston - Psychiatry
Alexander Vladimirov Otellin - NPI 1740302066
Alexander Vladimirov Otellin is a Psychiatry in South Charleston, . Alexander Vladimirov Otellin practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Alexander Vladimirov Otellin is 1740302066. The last update date is 2013-09-17.
Alexander Vladimirov Otellin's current location address is 401 Division St Ste 307, South Charleston, . You can contact this provider via phone number 3049324259. The mailing address for Alexander Vladimirov Otellin is 401 Division St Ste 307, South Charleston, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alexander Vladimirov Otellin |
|---|---|
| Address | 401 Division St Ste 307, South Charleston, |
| Phone Number | 3049324259 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1740302066 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2013-09-17 |
Provider Mailing Address Detail
| Address | 401 Division St Ste 307 |
|---|---|
| City | South Charleston |
| State | (WV) |
| Post Code | 253091455 |
| Phone Number | 3049324259 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 22592 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3810009290 | WV | -- |
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What is the Alexander Vladimirov Otellin's 1740302066?
The Alexander Vladimirov Otellin's NPI (National Provider Identifier) Number is 1740302066. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Alexander Vladimirov Otellin is physically located?
The Alexander Vladimirov Otellin is physically situated at the following address: 401 Division St Ste 307, South Charleston, WV, 253091455.
What is Alexander Vladimirov Otellin's area of expertise and its corresponding taxonomy classification?
The Alexander Vladimirov Otellin's field of specialization is Psychiatry, and it falls under the taxonomy code 2084P0800X, which categorizes healthcare providers based on their areas of practice.
When was the Alexander Vladimirov Otellin's 1740302066 issued?
The Alexander Vladimirov Otellin's 1740302066 was issued on 2007-04-06.
As of what date were the Alexander Vladimirov Otellin's details last updated?
The information pertaining to the Alexander Vladimirov Otellin, including its address, specialty, and other details, was most recently updated on 2013-09-17.