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

Nicole Ludmil Ivanov, MD

Individual provider Pediatrics Physician · NPI 1003376534

Nicole Ludmil Ivanov, MD is a Pediatrics Physician in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2019.

Licensed in
NC
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

9908 Couloak Dr Ste 103
Charlotte, NC 28216-8678
Phone: (704) 801-2025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2022-01947 (NC)

Record details

NPI number1003376534
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2019
Last updated in NPPESJuly 15, 2024
Certification dateJuly 28, 2022

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