Alexandre Victor Novikov, is a
Radiology - Diagnostic Ultrasound physician based in Ridley Park, Pennsylvania. Alexandre Victor Novikov is licensed to practice in Maryland (license number 118609) and his current practice location is 175 E Chester Pike, Ridley Park, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(610) 595-6467.
NPI number for Alexandre Victor Novikov is 1225692718 and his current mailing address is 175 E Chester Pike, Ridley Park, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225692718.
Physician's Profile
Full Name | Alexandre Victor Novikov |
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Gender | Male |
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Speciality | Radiology - Diagnostic Ultrasound |
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Location | 175 E Chester Pike, Ridley Park, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225692718
- Provider Enumeration Date: 04/30/2019
- Last Update Date: 04/30/2019
Medical Identifiers
Medical identifiers for Alexandre Victor Novikov such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225692718 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085U0001X | Radiology - Diagnostic Ultrasound | 118609 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alexandre Victor Novikov is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alexandre Victor Novikov, 175 E Chester Pike, Ridley Park, PA 19078-2212 Ph: (610) 595-6467 | Alexandre Victor Novikov, 175 E Chester Pike, Ridley Park, PA 19078-2212 Ph: (610) 595-6467 |
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