Provider Demographics
NPI:1629240395
Name:NETREBKO, PAVLO I (MD)
Entity Type:Individual
Prefix:
First Name:PAVLO
Middle Name:I
Last Name:NETREBKO
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Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:300 KEISLER DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7083
Mailing Address - Country:US
Mailing Address - Phone:919-233-0059
Mailing Address - Fax:919-233-0343
Practice Address - Street 1:300 KEISLER DR
Practice Address - Street 2:SUITE 204
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7083
Practice Address - Country:US
Practice Address - Phone:919-233-0059
Practice Address - Fax:919-233-0343
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2021-12-07
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Provider Licenses
StateLicense IDTaxonomies
NC200900690207RC0001X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease