Shmuylovich, Leonid

Shmuylovich, Leonid is an individual health care provider with primary practice located at 1 Childrens Pl Div Im Dermatology, Ste 2A And 2D, Saint Louis MO 63110-1002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Shmuylovich, Leonid can be contacted via phone (314) 273-3376.

Contact Information

Primary practice address
1 Childrens Pl Div Im Dermatology, Ste 2A And 2D Saint Louis MO 63110-1002
Phone: (314) 273-3376
Fax: (888) 665-8309
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2018023418 Missouri
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2018023418 Missouri

Profile Details

NPI number 1962883165
LBN Legal business name Shmuylovich, Leonid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2015
Last updated Apr 25th, 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 1962883165 NPPES
Missouri MEDICAID 200086839

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