Davidov, Michael S

Davidov, Michael S is an sole proprietor health care provider with primary practice located at 34509 9Th Avenue South #207, Federal Way WA 98003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Davidov, Michael S can be contacted via phone (253) 815-9595.

Contact Information

Primary practice address
34509 9Th Avenue South #207 Federal Way WA 98003
Phone: (253) 815-9595
Fax: (253) 815-9797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD00034406 Washington
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD00034406 Washington

Profile Details

NPI number 1609959857
LBN Legal business name Davidov, Michael S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated May 18th, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609959857 NPPES
Other 146075 L&I
MEDICAID 1113661 L&I
Other 146075 L&I
MEDICAID 7900749 L&I

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