Provider Demographics
NPI:1346250073
Name:FINEMAN, IGOR (MD)
Entity Type:Individual
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First Name:IGOR
Middle Name:
Last Name:FINEMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:630 S RAYMOND AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-3278
Mailing Address - Country:US
Mailing Address - Phone:626-535-9552
Mailing Address - Fax:626-535-9505
Practice Address - Street 1:630 S RAYMOND AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3278
Practice Address - Country:US
Practice Address - Phone:626-535-9552
Practice Address - Fax:626-535-9505
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2010-03-30
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Provider Licenses
StateLicense IDTaxonomies
CAA55380207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH31723Medicare UPIN