1245824812 NPI number — DR. NOAM ELIASHIV BARTUV MD

Table of content: DR. NOAM ELIASHIV BARTUV MD (NPI 1245824812)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245824812 NPI number — DR. NOAM ELIASHIV BARTUV MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARTUV
Provider First Name:
NOAM
Provider Middle Name:
ELIASHIV
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BARTOV
Provider Other First Name:
NOAM
Provider Other Middle Name:
ELIASHIV
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1245824812
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/24/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
NACHAL GAMLA 8 APT 11
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KIRYAT ONO
Provider Business Mailing Address State Name:
ISRAEL
Provider Business Mailing Address Postal Code:
55450
Provider Business Mailing Address Country Code:
IL
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
# 1 PASTERNAK ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
REHOVOT
Provider Business Practice Location Address State Name:
HAMERKAZ
Provider Business Practice Location Address Postal Code:
7661041
Provider Business Practice Location Address Country Code:
IL
Provider Business Practice Location Address Telephone Number:
972-894-4133
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/24/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Y00000X , with the licence number:  40717 , registered in the state of ZZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)