MR. ILYA PAVLOV DO
NPI 1366139800
Student in an Organized Health Care Education/Training Program in Plantation, FL
About Mr. Ilya Pavlov Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ILYA PAVLOV DO (NPI 1366139800) is an individual student in an organized health care education/training program in Plantation, Florida and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hinsdale.
NPPES Registry Identity
Specialties & Licenses
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.
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Ilya Pavlov Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PLANTATION, FL 33324
PLANTATION, FL 33324
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366139800, enumerated as an "individual" on April 24, 2023.
The provider is located at 600 S PINE ISLAND RD PLANTATION, FL 33324 and the phone number is (305) 355-6060.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
