IGNAT IVANOV IGNATOV CSA
NPI 1366786204
Physician Assistant - Surgical in Surprise, AZ
- Individual
- Male
- Physician Assistant
- Surgical
About IGNAT IGNATOV
This page provides the complete NPI Profile along with additional information for Ignat Ignatov, a provider established in Surprise, Arizona with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1366786204 assigned on November 2012. The practitioner's primary taxonomy code is 363AS0400X with license number 4024 (AZ). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1366786204 Verify this NPI
- Provider Name
- IGNAT IVANOV IGNATOV CSA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 13832 W GELDING DR SURPRISE, AZ 85379
- Location Phone
- (602) 451-7496
- Mailing Address
- 13832 W GELDING DR SURPRISE, AZ 85379
- Mailing Phone
- (602) 451-7496
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-15-2012
- Last Update Date
- 01-04-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 4024
- License State
- AZ
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366786204, enumerated as an "individual" on November 15, 2012.
The provider is located at 13832 W GELDING DR SURPRISE, AZ 85379 and the phone number is (602) 451-7496.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
