| Stefan Alexandrov Ianchulev, MD | |
| 25 Hospital Center Blvd, Hilton Head Island, SC 29926-2793 | |
| (843) 681-6122 | |
| Not Available | 
| Full Name | Stefan Alexandrov Ianchulev | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiology | 
| Location | 25 Hospital Center Blvd, Hilton Head Island, South Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1871510446 | NPI | - | NPPES | 
| 1871510446 | Other | NPI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | 235292 (Massachusetts) | Secondary | 
| 207L00000X | Anesthesiology | 93710 (South Carolina) | Secondary | 
| 207L00000X | Anesthesiology | MD-55145 (Iowa) | Primary | 
| Entity Name | Cep America - Anesthesia Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1639995830 PECOS PAC ID: 3678897915 Enrollment ID: O20250107002891 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Stefan Alexandrov Ianchulev, MD 800 Washington St, Tufts Medical Center, Boston, MA 02111-1552 Ph: (617) 636-6044 | Stefan Alexandrov Ianchulev, MD 25 Hospital Center Blvd, Hilton Head Island, SC 29926-2793 Ph: (843) 681-6122 | 
| Philip James Zitello, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 222 Pembroke Dr, Building C, Hilton Head Island, SC 29926 Phone: 843-682-2345 Fax: 843-682-2343 | |
| Dr. William John Brian, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 222 Pembroke Dr, Building C, Hilton Head Island, SC 29926 Phone: 843-682-2345 Fax: 843-682-2343 | |
| Dr. Ronald Paul Mulner, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 222 Pembroke Dr, Building C, Hilton Head Island, SC 29926 Phone: 843-682-2345 Fax: 843-682-2343 | |
| Dr. Raju Prasad Krishna, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 222 Pembroke Dr, Building C, Hilton Head Island, SC 29926 Phone: 843-682-2345 Fax: 843-682-2343 | |
| Dr. Bradley Harold Edwards, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 25 Hospital Center Blvd, Hilton Head Island, SC 29926 Phone: 843-681-6122 |