Gorelik, Leonid

Gorelik, Leonid is an individual health care provider with primary practice located at 8075 N Shadeland Ave , Indianapolis IN 46250-2693. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gorelik, Leonid can be contacted via phone (317) 887-7000.

Contact Information

Primary practice address
8075 N Shadeland Ave Indianapolis IN 46250-2693
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301085309 Michigan
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01088357A Indiana

Profile Details

NPI number 1700871050
LBN Legal business name Gorelik, Leonid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Dec 19th, 2024 - about 2 years 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 1700871050 NPPES
Michigan MEDICAID 104739656

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