GENNADY MARATOVICH VULAKH MD
NPI 1093651622
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 27, 2026
3400 SPRUCE ST, PHILADELPHIA, PA 19104(215) 662-9990(215) 243-3297 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gennady Maratovich Vulakh Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENNADY MARATOVICH VULAKH MD (NPI 1093651622) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1093651622
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGENNADY MARATOVICH VULAKHCredential: MD
Location Address3400 SPRUCE STPhiladelphia, PA 19104-4238
Mailing Address3400 Spruce StPhiladelphia, PA 19104-4238 · (215) 662-9990 · Fax (215) 243-3297
Fax(215) 243-3297
Sole ProprietorNo
Enumeration DateApril 27, 2026
Last NPPES UpdateApril 29, 2026
NPPES CertifiedApril 29, 2026
NPI 1093651622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3400 SPRUCE ST, Philadelphia, PA 19104

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Anesthesiology (Pain Medicine)
3400 SPRUCE ST, HUP-DULLES 6, ANESTHESIOLOGY DEPT
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 SPRUCE ST, 535 MALONEY BLDG
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 SPRUCE ST, 2007 PENN TOWER
PHILADELPHIA, PA 19104
Nurse Practitioner (Adult Health)
3400 SPRUCE ST, GOUND FLOOR SILVERSTEIN
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 SPRUCE ST, ROOM 538 MALONEY BUILDING
PHILADELPHIA, PA 19104
Radiology (Radiation Oncology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Psychiatry)
3400 SPRUCE ST, 2016 PENN TOWER
PHILADELPHIA, PA 19104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093651622, enumerated as an "individual" on April 27, 2026.

The provider is located at 3400 SPRUCE ST PHILADELPHIA, PA 19104 and the phone number is (215) 662-9990.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.