David Bradley Kozlov in Belvidere - Vascular & Interventional Radiology

David Bradley Kozlov - NPI 1528087913

David Bradley Kozlov is a Vascular & Interventional Radiology in Belvidere, Illinois. David Bradley Kozlov practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for David Bradley Kozlov is 1528087913. The last update date is 2023-11-18.

David Bradley Kozlov's current location address is 1322 Tuneberg Pkwy, Belvidere, Illinois. You can contact this provider via phone number 8474454262. The mailing address for David Bradley Kozlov is 1322 Tuneberg Pkwy, Belvidere, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name David Bradley Kozlov
Address 1322 Tuneberg Pkwy, Belvidere, Illinois
Phone Number 8474454262
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1528087913
Provider Enumeration Date 2006-07-18
Last Updated Date 2023-11-18

Provider Mailing Address Detail

Address 1322 Tuneberg Pkwy
City Belvidere
State Illinois (IL)
Post Code 610087902
Phone Number 8474454262
Fax Number

Provider's Primary Taxonomy Detail

Speciality Vascular & Interventional Radiology
Taxonomy 2085R0204X
Licence No 31814
Definition:
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
212545 IL GROUP PTAN
202926 IL GROUP PTAN
36100483 IL --

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FAQs about David Bradley Kozlov

What is the unique identifier code issued to David Bradley Kozlov by the Centers for Medicare & Medicaid Services (CMS)?

The David Bradley Kozlov has been assigned the NPI (National Provider Identifier) 1528087913. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where David Bradley Kozlov's facilities are geographically located?

The facilities of David Bradley Kozlov are physically situated at the following location: 1322 Tuneberg Pkwy, Belvidere, IL, 610087902.

What is David Bradley Kozlov's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for David Bradley Kozlov is Vascular & Interventional Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0204X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1528087913 to David Bradley Kozlov?

The Centers for Medicare & Medicaid Services originally issued the 1528087913 to David Bradley Kozlov on 2006-07-18.

When was the David Bradley Kozlov's information last updated?

The David Bradley Kozlov's information was last updated on 2023-11-18.

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