Lyshchik, Andrej

Lyshchik, Andrej is an individual health care provider with primary practice located at 111 S 11Th St Suite 3390, Philadelphia PA 19107-4824. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Lyshchik, Andrej can be contacted via phone (215) 955-6226.

Contact Information

Primary practice address
111 S 11Th St Suite 3390 Philadelphia PA 19107-4824
Phone: (215) 955-6226
Fax: (215) 923-1562
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD445598 Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD445598 Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 46419 Tennessee

Profile Details

NPI number 1356534895
LBN Legal business name Lyshchik, Andrej
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2007
Last updated Oct 18th, 2016 - about 10 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 1356534895 NPPES
Pennsylvania MEDICAID 102711579
Pennsylvania MEDICAID 0309834

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