# MICHAEL S DAVIDOV, MD, INC, PS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174831192
- **Authorized official:** MICHAEL S DAVIDOV MD (PRESIDENT)
- **Authorized official phone:** (253) 815-9595

## Contact information

- **Practice address:** 34509 9TH AVENUE SOUTH, \#207, FEDERAL WAY, WA 98003-8709
- **Practice address phone:** (253) 815-9595
- **Practice address fax:** (253) 815-9797
- **Mailing address:** 34509 9TH AVENUE SOUTH, \#207, FEDERAL WAY, WA 98003-8709
- **Mailing address phone:** (253) 815-9595
- **Mailing address fax:** (253) 815-9797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MD00034406 | WA | Yes |
| 208D00000X | General Practice Physician | MD00034406 | WA | — |

## Other

- **Enumeration date:** 09/24/2010
- **Last updated:** 12/16/2010