Provider Demographics
NPI:1528053998
Name:FILIPOV, PANAYOT G (MD)
Entity type:Individual
Prefix:
First Name:PANAYOT
Middle Name:G
Last Name:FILIPOV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:977 48TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2919
Mailing Address - Country:US
Mailing Address - Phone:718-283-8015
Mailing Address - Fax:718-635-7235
Practice Address - Street 1:4802 10TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2844
Practice Address - Country:US
Practice Address - Phone:718-283-8853
Practice Address - Fax:718-635-7235
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2010522080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01655467Medicaid
NY37N0691OtherNEIGHBORHOOD HEALTH
NY2602413OtherGHI
NYFP1052OtherATLANTIS HEALTH PLAN
NY1765831OtherUNITED HEALTH CARE
NY51G971OtherEMPIRE BCBS
NY201052-A15OtherHEALTH FIRST
NYBK00848-05OtherAMERICHOICE
NY1000030330OtherAFFINITY
NY201052OtherHIP
NYP1255864OtherOXFORD HEALTH PLANS
NY4C4440OtherHEALTHNET
NY4C4440OtherHEALTHNET