Provider Demographics
NPI:1417917378
Name:POPOVA, SVETLANA (MD, MPH)
Entity Type:Individual
Prefix:
First Name:SVETLANA
Middle Name:
Last Name:POPOVA
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Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1616 CAPITOL AVE STE 74.421
Mailing Address - Street 2:MS 7203
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95814-5052
Mailing Address - Country:US
Mailing Address - Phone:916-449-5335
Mailing Address - Fax:
Practice Address - Street 1:1616 CAPITOL AVE STE 74.421
Practice Address - Street 2:MS 7203
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95814-5052
Practice Address - Country:US
Practice Address - Phone:916-449-5335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA93519207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine