Elmurodov, Otabek

Elmurodov, Otabek is an individual health care provider with primary practice located at 106 Briarwood Rd , Statesboro GA 30458-2459. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Elmurodov, Otabek can be contacted via phone (912) 871-5000.

Contact Information

Primary practice address
106 Briarwood Rd Statesboro GA 30458-2459
Phone: (912) 871-5000
Fax: (912) 681-1444
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 081428 Georgia

Profile Details

NPI number 1972035632
LBN Legal business name Elmurodov, Otabek
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2017
Last updated Mar 19th, 2026 - about 8 months ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972035632 NPPES
Michigan Other 39STUDENT SINAI-GRACE HOSPITAL/DMC - TRANSITIONAL YEAR RESIDENCY PROGRAM
Michigan MEDICAID 1972035632 SINAI-GRACE HOSPITAL/DMC - TRANSITIONAL YEAR RESIDENCY PROGRAM

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