Buyanov, Dmitriy
Buyanov, Dmitriy is an sole proprietor health care provider with primary practice located at 2425 Babcock Rd Ste 108 , San Antonio TX 78229-4899. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Buyanov, Dmitriy can be contacted via phone (210) 775-3455.Contact Information
Primary practice address
2425 Babcock Rd Ste 108
San Antonio TX 78229-4899
Phone: (210) 775-3455
Fax: (210) 775-3455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | L7996 | Texas |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | L7996 | Texas |
Profile Details
| NPI number | 1124047261 |
|---|---|
| LBN Legal business name | Buyanov, Dmitriy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Nov 14th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124047261 | NPPES |
| Texas | MEDICAID | 166300703 |
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