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:
Health care specialties
| Specialty | Code | License # | 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 19 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 | 1104866318 | NPPES |
| California | MEDICAID | 00G381550 |
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