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Individual
NEVA A OUILIKON
Active
Individual
NEVA A OUILIKON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD424203
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001612737
BLUE SHIELD
PA
05
—
101098676
—
PA
01
—
P00261146
RAILROAD MEDICARE
PA
Enumeration date
07/29/2006
Last updated
07/19/2021
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