Stefan Alexandrov Ianchulev, MD | |
25 Hospital Center Blvd, Hilton Head Island, SC 29926-2793 | |
(843) 681-6122 | |
Not Available |
Full Name | Stefan Alexandrov Ianchulev |
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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 |
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207L00000X | Anesthesiology | 235292 (Massachusetts) | Secondary |
207L00000X | Anesthesiology | 93710 (South Carolina) | Secondary |
207L00000X | Anesthesiology | MD-55145 (Iowa) | Primary |
Entity Name | Cep America - Anesthesia Pc |
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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 |
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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 |