MEDICARE: BOGDAN PUCHKOV

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	171R00000X	Interpreter

General Provider Information

NPI Number	:	1922824044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BOGDAN PUCHKOV

Provider Business Mailing Address
First Line	:	1105 AUTUMN LAKES CT APT 205
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-5164
Country	:	US
Telephone Number	:	757-266-6944
Fax Number	:

Provider Business Practice Location Address
First Line	:	1105 AUTUMN LAKES CT APT 205
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-5164
Country	:	US
Telephone Number	:	757-266-6944
Fax Number	:

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

Provider Enumeration Date	:	11/25/2024
Last Update Date	:	11/25/2024

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Directions to “ BOGDAN PUCHKOV ” Practice Location

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