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NPI Code Detail

MEDICARE: NADEZHDA NAYDENOV

MEDICARE: NADEZHDA NAYDENOV
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
1363AS0400XSurgical Physician Assistant0136000494VA

General Provider Information

NPI Number : 1952078966
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADEZHDA NAYDENOV
Provider Business Mailing Address
First Line : 9232 TOMS TRL
Second Line :
City : LAUREL
State : MD
Zip : 20723-2726
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2300 WILSON BLVD STE 700
Second Line :
City : ARLINGTON
State : VA
Zip : 22201-5435
Country : US
Telephone Number : 757-439-0033
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2021
Last Update Date : 09/17/2025

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Directions to “ NADEZHDA NAYDENOV ” Practice Location

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