NPI 1003376534

Nicole Ludmil Ivanov, MD

Practitioner Pediatrics Physician Charlotte, NC

Practice location

Address: 9908 Couloak Dr STE 103, Charlotte, NC 28216-8678
Phone: (704) 801-2025
Mailing address: PO Box 19305, Charlotte, NC 28219-9305

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 2022-01947 (NC)

Other Pediatrics providers in North Carolina →

Registry record

NPI: 1003376534
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Mar 2019
Record last updated: 15 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.