Kotlyarov, Eduard Volfovitch
Kotlyarov, Eduard Volfovitch is an individual health care provider with primary practice located at 1375 N Main St , Lapeer MI 48446-1350. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kotlyarov, Eduard Volfovitch can be contacted via phone (810) 667-5500.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 0101032700 | Virginia |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | D0026059 | Maryland |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 4301061744 | Michigan |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | MD11451 | District of Columbia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D0026059 | Maryland |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0101032700 | Virginia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 4301061744 | Michigan |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD11451 | District of Columbia |
Profile Details
| NPI number | 1851348247 |
|---|---|
| LBN Legal business name | Kotlyarov, Eduard Volfovitch |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2006 |
| Last updated | Feb 6th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851348247 | NPPES |
| Michigan | MEDICAID | 2965193 | |
| Michigan | Other | 300049506 | |
| Michigan | Other | 310D460020 | |
| Michigan | Other | 3006399421 | |
| Michigan | Other | CA5318 | |
| Michigan | MEDICAID | 2965228 |
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