Search › Alabama › 207Q00000X
Ivan Pivovarov, MD
NPI 1467662148 · on the registry since 2007 · sole proprietor
Practice
- Address
- 279 Hughes Rd
Madison, AL 35758 - Phone
- (256) 289-1733
- Organisation at this address
- Custom Family Care, Llc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 1215 7th Street, Se, Decatur, AL
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
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 Alabama