Provider Demographics
NPI:1811990039
Name:FILIPOV, PETER T (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:T
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 1:31519 WINTERPLACE PKWY
Mailing Address - Street 2:STE 1
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-1884
Mailing Address - Country:US
Mailing Address - Phone:410-546-2500
Mailing Address - Fax:410-546-5005
Practice Address - Street 1:31519 WINTERPLACE PKWY
Practice Address - Street 2:STE 1
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-1884
Practice Address - Country:US
Practice Address - Phone:410-546-2500
Practice Address - Fax:410-546-5005
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0004945207W00000X
MDD0047810207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD691360100Medicaid
MD691360100Medicaid
DEP00468684Medicare PIN
MD180023228Medicare PIN
DEG02090A02Medicare PIN
MD174L081BMedicare PIN