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Individual

KONSTANTIN OVODOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3700 CALIFORNIA ST, SAN FRANCISCO, CA 94118-1618
(415) 719-0000
Mailing address
PO BOX 7793, SAN FRANCISCO, CA 94120-7793
(503) 372-2740
(503) 372-2754

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A53866
CA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
A53866
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A538660
CA
Enumeration date
05/30/2006
Last updated
07/11/2007
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