Doctor Name: | DR. PAVEL STOYANOV PETKOV |
NPI Number: | 1194910570 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 53240-020 |
Business Practice Address: | 1705 W Main St Mesa, AZ - 852016920 |
Business Phone Number: | 8778095092 |
Business Fax Number: | |
Mailing Address: | 9520 W Palm Ln Ste 200, PHOENIX |
State: | AZ |
Postal Code: | 850374403 |
Phone Number: | 6235833001 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2007 |
NPI Last Update Date: | 04/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 53240-020 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |