Vadim Avulov (NPI# 1700121472, PAC ID# 3577703834) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1700121472 |
| PAC ID by PECOS | 3577703834 |
| Professional Enrollment ID | I20150122002289 |
| Full Name | Vadim Avulov |
| Address |
7905 Tommy Dr San Diego CA 92119-1833 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 2007 |
| Primary Specialty | GENERAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050026 | GROSSMONT HOSPITAL |
| 050757 | ALVARADO HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 250 Prospect Pl, Coronado, CA 92118-1943 | 6195223600 | EMERGENCY AND ACUTE CARE MEDICAL CORPORATION |
| 5555 Grossmont Ctr Dr, La Mesa, CA 91942-3019 | 6197406000 | EMERGENCY AND ACUTE CARE MEDICAL CORPORATION |
| 7905 Tommy Dr, San Diego, CA 92119-1833 |
| Street Address |
7905 TOMMY DR |
| City | SAN DIEGO |
| State | CA |
| Zip | 92119-1833 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darren S Williams | Physical Therapy | 7676 Jackson Dr, Suite 4, San Diego, CA 92119-1515 | |
| Sandra L Daniel | Physical Therapy | 7290 Navajo Rd, Suite 111, San Diego, CA 92119-1631 | |
| Robert M Gonzalez | Optometry | 8312 Lake Murray Blvd C, San Diego, CA 92119-3435 | |
| Kenneth M Greenberg | Chiropractic | 8312 Lake Murray Blvd, Suite 0, San Diego, CA 92119-3435 | |
| Jeffrey A Hall | Optometry | Robert Gonzalez Od Inc | 8312 Lake Murray Blvd C, San Diego, CA 92119-3435 |
| Bruce V Foerster | Orthopedic Surgery | 6280 Jackson Dr, Suite 4c, San Diego, CA 92119-3436 | |
| Stephen L Reitman | Internal Medicine | San Diego Center for Family Health | 6280 Jackson Dr, Suite 8, San Diego, CA 92119-3436 |
| Halyna Y West | Internal Medicine | San Diego Center for Family Health | 6280 Jackson Dr, Suite 8, San Diego, CA 92119-3436 |
| Roy C Springer | Family Medicine | San Diego Center for Family Health | 6280 Jackson Dr, Suite 8, San Diego, CA 92119-3436 |
| City | SAN DIEGO |
| Zip Code | 92119 |
| Specialty | GENERAL SURGERY |
| City + Specialty | SAN DIEGO + GENERAL SURGERY |
Please comment or provide details below to improve the information on Vadim Avulov.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.