Individual
DR. ELENA V. PIMANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3250 MERIDIAN PKWY, WESTON, FL 33331-3502
(954) 659-5867
(954) 659-5868
Mailing address
101 W MULBERRY BLVD STE 100, SAVANNAH, GA 31407-3507
(912) 350-6000
(912) 350-6001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
071614
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003137669A
—
GA
05
—
003137669B
—
GA
05
—
GA1612
—
SC
01
—
P01311093
RAILROAD MEDICARE
GA
Enumeration date
04/28/2011
Last updated
08/28/2024
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