Provider Demographics
NPI:1346497559
Name:ALIMOV, VICTORIA SERGEYEVNA (MD)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:SERGEYEVNA
Last Name:ALIMOV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1532 E TULSA ST
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-5285
Mailing Address - Country:US
Mailing Address - Phone:480-782-1920
Mailing Address - Fax:
Practice Address - Street 1:1532 E TULSA ST
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-5285
Practice Address - Country:US
Practice Address - Phone:480-782-1920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ40829207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine