Ivanov, Iouri

Ivanov, Iouri is an individual health care provider with primary practice located at 410 W 10Th Ave , Columbus OH 43210-1240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Ivanov, Iouri can be contacted via phone (614) 293-5905.

Contact Information

Primary practice address
410 W 10Th Ave Columbus OH 43210-1240
Phone: (614) 293-5905
Fax: (614) 293-4715
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 35086162 Ohio

Profile Details

NPI number 1053341388
LBN Legal business name Ivanov, Iouri
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Oct 14th, 2019 - about 7 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 1053341388 NPPES
Ohio MEDICAID 2588230

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