Idrisov, Evgeny
Idrisov, Evgeny is an sole proprietor health care provider with primary practice located at 1700 S Tamiami Trl , Sarasota FL 34239. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Idrisov, Evgeny can be contacted via phone (941) 917-4896.Contact Information
Primary practice address
1700 S Tamiami Trl
Sarasota FL 34239
Phone: (941) 917-4896
Fax: (941) 917-6884
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME131245 | Florida |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME131245 | Florida |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | PENDING | Oklahoma |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | TRN21341 | Florida |
Profile Details
| NPI number | 1689061830 |
|---|---|
| LBN Legal business name | Idrisov, Evgeny |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2015 |
| Last updated | Jul 5th, 2022 - about 4 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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