Emil Ivanov, md
Psychiatry & Neurology, Psychiatry in Pittsburgh, PA. Individual provider (NPI-1).
NPI number1013024751
StatusActive
Last updated in NPPESAug 28, 2015
Details
- NPI
- 1013024751
- Entity type
- Individual (NPI-1)
- Name
- Emil Ivanov
- Credential
- md
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2006
- Last updated
- Aug 28, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | MD427791 | PA | Yes |
Practice location
3811 Ohara StPittsburgh, PA 15213-2593
Phone 412-246-6801
Mailing address
3811 Ohara StPittsburgh, PA 15213-2593
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