Michael S Davidov, Md, Inc, Ps
LBN: Michael S Davidov, Md, Inc, Ps
Michael S Davidov, Md, Inc, Ps is an health care organization with primary practice located at 34509 9Th Avenue South #207, Federal Way WA 98003-8709. The organization 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 the primary health care specialty.
Michael S Davidov, Md, Inc, Ps can be contacted via phone (253) 815-9595, or through Davidov, Michael S via phone (253) 815-9595.
Contact Information
Primary practice address
34509 9Th Avenue South #207
Federal Way WA 98003-8709
Phone: (253) 815-9595
Fax: (253) 815-9797
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD00034406 | Washington |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD00034406 | Washington |
Profile Details
| NPI number | 1174831192 |
|---|---|
| LBN Legal business name | Michael S Davidov, Md, Inc, Ps |
| DBA Doing business as | |
| Authorized official | Davidov, Michael S Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 24th, 2010 |
| Last updated | Dec 16th, 2010 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174831192 | NPPES |
| Washington | Other | GAB20523 | PTAN |
| Washington | MEDICAID | 1113661 | PTAN |
| Washington | MEDICAID | 7900749 | PTAN |
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