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NPI Code Detail

MEDICARE: DR. SVETLANA ZAYDMAN D.O.

MEDICARE:  DR. SVETLANA  ZAYDMAN  D.O.
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
12081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician25MB08649200NJ
22081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician52413MN
32081S0010XSports Medicine (Physical Medicine & Rehabilitation) Physician25MB08649200NJ
4208VP0000XPain Medicine Physician52413MN
52083A0300XAddiction Medicine (Preventive Medicine) Physician52413MN

General Provider Information

NPI Number : 1285960013
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SVETLANA ZAYDMAN D.O.
Provider Business Mailing Address
First Line : 2428 E 117TH ST
Second Line :
City : BURNSVILLE
State : MN
Zip : 55337-1269
Country : US
Telephone Number : 612-444-3000
Fax Number : 612-444-9000
Provider Business Practice Location Address
First Line : 2428 E 117TH ST
Second Line :
City : BURNSVILLE
State : MN
Zip : 55337-1269
Country : US
Telephone Number : 612-444-3000
Fax Number : 612-444-9000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2009
Last Update Date : 09/16/2021

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Directions to “ DR. SVETLANA ZAYDMAN D.O.” Practice Location

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