Korkhov, Vadim Edward

Korkhov, Vadim Edward is an individual health care provider with primary practice located at 301 Hospital Dr , Glen Burnie MD 21061-5803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Korkhov, Vadim Edward can be contacted via phone (410) 787-4000.

Contact Information

Primary practice address
301 Hospital Dr Glen Burnie MD 21061-5803
Phone: (410) 787-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 231475 New York
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X D0068240 Maryland

Profile Details

NPI number 1790725315
LBN Legal business name Korkhov, Vadim Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Oct 6th, 2008 - about 18 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 1790725315 NPPES
Indiana Other 000000554504 ANTHEM
Indiana MEDICAID 200890270 ANTHEM

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