VITALIY DAVIDOV MD, PHD
NPI 1760185300
Student in an Organized Health Care Education/Training Program in Houston, TX
About Vitaliy Davidov Md, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITALIY DAVIDOV MD, PHD (NPI 1760185300) is an individual student in an organized health care education/training program in Houston, Texas and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vitaliy Davidov Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOUSTON, TX 77030
HOUSTON, TX 77030
HOUSTON, TX 77030
HOUSTON, TX 77030
HOUSTON, TX 77030
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Vitaliy Davidov's NPI number?
The NPI number for Vitaliy Davidov is 1760185300. It was assigned to this individual provider in the NPPES registry on March 23, 2023.
Where is Vitaliy Davidov located?
Vitaliy Davidov practices at 6560 Fannin St Ste 944, Houston, TX 77030. The listed phone number is (713) 441-3800.
What is Vitaliy Davidov's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Vitaliy Davidov enrolled in Medicare?
Yes. Vitaliy Davidov is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Vitaliy Davidov was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Vitaliy Davidov, MD, PHD · NPI 1760185300
Student in an Organized Health Care Education/Training Program provider in Houston, Texas. Individual provider, active in the CMS NPPES registry since March 23, 2023.
## Identity
- **NPI:** 1760185300 (Entity type: Individual)
- **Enumerated:** March 23, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 6560 FANNIN ST STE 944, Houston, TX 77030-2706
- **Phone:** (713) 441-3800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 24, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1760185300) · Data from the CMS NPPES public registry.