Kritchevsky, Mark

Kritchevsky, Mark is an individual health care provider with primary practice located at Ucsd Medical Center 200 West Arbor Drive Mc 8201, San Diego CA 92103-8201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Kritchevsky, Mark can be contacted via phone (858) 657-8540.

Contact Information

Primary practice address
Ucsd Medical Center 200 West Arbor Drive Mc 8201 San Diego CA 92103-8201
Phone: (858) 657-8540
Fax: (619) 543-3183
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X G38155 California

Profile Details

NPI number 1104866318
LBN Legal business name Kritchevsky, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 8th, 2007 - about 18 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 1104866318 NPPES
California MEDICAID 00G381550

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