Physician Compare National (NPI:1932372638)

HEALTHCARE PROVIDER: VELIMIR RUMENOV PETKOV DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1932372638
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3779650635
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080919000022
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PETKOV
	Individual professional last name
Provider First Name	VELIMIR
	Individual professional first name
Provider Middle Name	RUMENOV
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	925 CLIFTON AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 107
	Group Practice or individual's line 2 address
City	CLIFTON
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	070132724
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y