Individual
ROUMEN KIRILOV IVANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122
(206) 215-2520
(206) 386-3180
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00041865
WA
208M00000X
Hospitalist Physician
MD00041865
WA
Other
Enumeration date
11/30/2006
Last updated
04/28/2021
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