Podberezin, Mark M.
Podberezin, Mark M. is an individual health care provider with primary practice located at 1355 River Bend Dr , Dallas TX 75247-4915. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Podberezin, Mark M. can be contacted via phone (214) 237-1818.Contact Information
Primary practice address
1355 River Bend Dr
Dallas TX 75247-4915
Phone: (214) 237-1818
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | 276739 | Massachusetts |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 276739 | Massachusetts |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 125051820 | Illinois |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | R2444 | Texas |
Profile Details
| NPI number | 1174782676 |
|---|---|
| LBN Legal business name | Podberezin, Mark M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2008 |
| Last updated | Oct 19th, 2023 - about 3 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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