Individual
ADRIANA SLOBODOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 S 11TH AVE, SUITE 203, YAKIMA, WA 98902-3242
(509) 574-4433
(509) 574-4432
Mailing address
732 SUMMITVIEW AVE # 621, YAKIMA, WA 98902-3032
(509) 573-3448
(509) 574-4481
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD60250442
WA
207RC0001X
Clinical Cardiac Electrophysiology Physician
11339
MT
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD60250442
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000097836
BCBS PIN
MT
Enumeration date
02/02/2007
Last updated
01/19/2012
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