Organization
MEDVIDI HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VASILI RAZHNOU (SECRETARY)
(415) 966-0848
Entity
Organization
Contact information
Practice address
11806 BRUCE B DOWNS BLVD # 1156, TAMPA, FL 33612-5542
(504) 414-5095
Mailing address
4010 MOORPARK AVE STE 114, SAN JOSE, CA 95117-1804
(504) 414-5095
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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