Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. IVAN JOHN CHRISTOV NICOLOV, M.D.
Active Sole ProprietorDR. IVAN JOHN CHRISTOV NICOLOV, M.D. is a Hospice and Palliative Medicine healthcare provider located in PINE HILL, New Mexico. NPI 1649488255 is currently active in the NPPES registry. Verify at CMS.
Hospice and Palliative Medicine · PINE HILL, NM
Registration Details
- NPI Number
- 1649488255
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2007 (19.239898209582 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MD20060115 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
BIA RTE 125PINE HILL, NM, 87357Browse NM providers · Browse ZIP 87357
- Phone
- 5057753271
- Fax
- 5057753930
- Primary Specialty
-
Hospice and Palliative Medicine
207QH0002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.