Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. VADIM PETROV-KONDRATOV, M.D.
ActiveMR. VADIM PETROV-KONDRATOV, M.D. is a Interventional Vascular Surgery healthcare provider located in HINESVILLE, Georgia. NPI 1891061040 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · HINESVILLE, GA
Registration Details
- NPI Number
- 1891061040
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2012 (14.410310601313 yrs)
- Last Updated
- May 28, 2025
- Licenses
-
88065 (GA)E10674 (AR)88065 (GA)
Practice Information
- Address
-
604 W OGLETHORPE HWYHINESVILLE, GA, 313134415Browse GA providers · Browse ZIP 31313
- Phone
- 9129103777
- Fax
- 9122920005
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Interventional Vascular Surgery
- Additional Specialty
- Interventional Vascular Surgery
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.