Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Oleg Antonov MD PC

Organization Specialist · NPI 1396186201

Oleg Antonov MD PC is a Specialist in Philadelphia, Pennsylvania. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11400 Bustleton Ave
Philadelphia, PA 19116
Phone: (215) 111-1111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1396186201
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Oleg Antonov — Owner · (215) 111-1111
Other names 11400 Bustleton Avenue
NPI enumeratedJuly 9, 2013
Last updated in NPPESJuly 9, 2013
Mailing address11400 Bustleton Ave, Philadelphia, PA 19116-2815

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