Leonard Anatoly Kazanov
Emergency Medical Services
5930 Frederick Crossing Ln
Frederick
, Maryland 21704-5137
Leonard Anatoly Kazanov
Emergency Medical Services
5930 Frederick Crossing Ln
Frederick
, Maryland 21704-5137
(240) 379-7787
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Leonard Anatoly Kazanov
- 5930 Frederick Crossing Ln
- Frederick, MD
- Zip : 21704-5137
- Fax : (240) 379-7787
- Phone : (240) 379-7776
Second Address
- Leonard Anatoly Kazanov
- 5930 Frederick Crossing Ln
- Frederick, MD
- Zip : 21704-5137
- Fax : (240) 379-7787
- Phone : (240) 379-7776
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | D0053809 | MD |
National Provider Identifier
| NPI | 1124026323 |
|---|---|
| Provider Name | Leonard Anatoly Kazanov |
| First Address | Frederick, MD 21704-5137 |
| Second Address | Frederick, MD 21704-5137 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2005 |
| Last Update Date | 02/12/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G62199 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.