| Ludmil Manov Md Pc | |
|
21 N 490 W American Fork UT 84003-2264 | |
| (801) 642-2396 | |
| (801) 642-2496 |
| Full Name | Ludmil Manov Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 21 N 490 W, American Fork, Utah |
| Authorized Official Name and Position | Ludmil Manov (OWNER) |
| Authorized Official Contact | 8016422396 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ludmil Manov Md Pc 21 N 490 W American Fork UT 84003-2264 Ph: (801) 642-2396 | Ludmil Manov Md Pc 21 N 490 W American Fork UT 84003-2264 Ph: (801) 642-2396 |
| NPI Number | 1275959546 |
|---|---|
| Provider Enumeration Date | 03/11/2014 |
| Last Update Date | 03/11/2014 |
| Medicare PECOS PAC ID | 6204052558 |
|---|---|
| Medicare Enrollment ID | O20140723001555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275959546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ludmil K Manov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629098108 PECOS PAC ID: 6204905425 Enrollment ID: I20080514000354 |
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