Vadim Loshakov I
Obstetrician & Gynecologist
1000 Alliance Dr
Hazleton
, Pennsylvania 18202-3234
Vadim Loshakov I
Obstetrician & Gynecologist
1000 Alliance Dr
Hazleton
, Pennsylvania 18202-3234
(484) 884-0699
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Vadim Loshakov I
- Po Box 783311
- Philadelphia, PA
- Zip : 19178-3311
- Fax : (484) 884-0699
- Phone : (484) 884-4500
Second Address
- Vadim Loshakov I
- 1000 Alliance Dr
- Hazleton, PA
- Zip : 18202-3234
- Fax : (570) 501-6436
- Phone : (570) 501-6450
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | MD419480 | PA |
National Provider Identifier
| NPI | 1003815721 |
|---|---|
| Provider Name | Vadim Loshakov I |
| First Address | Philadelphia, PA 19178-3311 |
| Second Address | Hazleton, PA 18202-3234 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2005 |
| Last Update Date | 13/02/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001922638-0002 | (05) | PA |
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.