IndividualActive
Vadim Ivanov, MD
NPI 1346577012 · Neonatal-Perinatal Medicine Physician · Oklahoma City, OK
Provider details
- NPI number
- 1346577012
- Entity type
- Individual
- Primary specialty
- Neonatal-Perinatal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 27513 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1200 Everett Dr
7fnp
Oklahoma City, OK 73104-5047
Phone: (405) 271-5215
Fax: (405) 271-1236
Approximate (ZIP-level) locationGet directions
Mailing address
1200 Everett Dr
Oklahoma City, OK 73104-5047
Registry dates
- Enumerated
- 2009-11-17
- Last updated
- 2011-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.