MEDICARE: DR. BORINA DRAMOV MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	G11513	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053481515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BORINA DRAMOV MD

Provider Business Mailing Address
First Line	:	256 SAN JOSE ST
Second Line	:	STE A
City	:	SALINAS
State	:	CA
Zip	:	93901-3933
Country	:	US
Telephone Number	:	831-757-5149
Fax Number	:	831-757-5140

Provider Business Practice Location Address
First Line	:	256 SAN JOSE ST
Second Line	:	STE A
City	:	SALINAS
State	:	CA
Zip	:	93901-3933
Country	:	US
Telephone Number	:	831-757-5149
Fax Number	:	831-757-5140

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	11/30/2016

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