Niyazov, Dmitriy M.

Niyazov, Dmitriy M. is an sole proprietor health care provider with primary practice located at 905 S Lasalle St , Durham NC 27710-2429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), which is considered as his primary health care specialty. Niyazov, Dmitriy M. can be contacted via phone (504) 905-9940.

Contact Information

Primary practice address
905 S Lasalle St Durham NC 27710-2429
Phone: (504) 905-9940
Fax: (504) 370-4089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X MD.201813 Louisiana

Profile Details

NPI number 1699950899
LBN Legal business name Niyazov, Dmitriy M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2008
Last updated Feb 22nd, 2024 - about 2 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 1699950899 NPPES
Mississippi MEDICAID 09334866
Mississippi MEDICAID 1027987

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