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Contact Information

MICHAEL S DAVIDOV, MD
34509 9TH AVENUE SOUTH
#207
FEDERAL WAY, WA98003
 Phone: 253-815-9595
 Fax: 253-815-9797
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for MICHAEL S DAVIDOV · (Male)

NPI Number 1609959857
Status Active
Credentials MD
Entity Individual
Enumeration date 10/23/2006
Last updated 05/18/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # MD00034406
  • WA Medicaid 1113661
  • WA Medicaid 7900749
  • Other 146075 L&I
  • Other 146075 L1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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