Individual
ANDREJ V HNATOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
524 MOYE BLVD, GREENVILLE, NC 27834-2848
(252) 551-6300
(252) 551-6393
Mailing address
524 MOYE BLVD, GREENVILLE, NC 27834-2848
(252) 511-6300
(252) 511-6393
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
2003-00355
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13361
BLUE CROSS/BLUE SHIELD
NC
01
—
7713451
AETNA PROVIDER ID #
NC
01
—
8033403
CIGNA
NC
05
—
8913361
—
NC
01
—
C6602
MED COST
NC
01
—
P00612670
RAILROAD MEDICARE
NC
01
—
P01619313
RR MEDICARE
NC
Enumeration date
06/15/2005
Last updated
04/28/2026
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