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Search › Arizona › 207V00000X

Pavel Petkov, M.D

NPI 1194910570 · on the registry since 2007

Practice

Address
4212 N 16th St
Phoenix, AZ 85016
Phone
(602) 263-1200
Fax
(602) 263-1619
Organisation at this address
Shared Imaging Llc
Phoenix Indian Medical Center
Phoenix Indian Medical Center
Advanced Healthcare Resources Inc
Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Inferred from a shared address, not stated in the registry.
Clinicians at this address
948

Additional practice sites

  • 1705 W Main St, Mesa, AZ
  • 1705 W Main St, Mesa, AZ
  • 1864 E Florence Blvd Ste 2, Casa Grande, AZ
  • 44765 W. Hathaway Ave., Maricopa, AZ

Registry record

Primary taxonomy
207V00000X
207V00000X
Also registered as
207V00000X
Licence states on file
WI, AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-11-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona