Provider Demographics
NPI:1841678562
Name:HRISTOVA, VENTZISLAVA (PHD)
Entity type:Individual
Prefix:DR
First Name:VENTZISLAVA
Middle Name:
Last Name:HRISTOVA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2657 S EVERLY DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-1506
Mailing Address - Country:US
Mailing Address - Phone:301-676-5967
Mailing Address - Fax:
Practice Address - Street 1:1050 BOYLES ST. BUILDING 560 ROOM 12-39
Practice Address - Street 2:NATIONAL CANCER INSTITUTE - FREDERICK
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702
Practice Address - Country:US
Practice Address - Phone:301-846-7178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-14
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QC1000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyChemistry