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Individual

DENIS PRIVALOV

Active
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Individual

DENIS PRIVALOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
0101235688
VA
207RN0300X
Nephrology Physician
Primary
MD154116
OR

Other

Enumeration date
07/18/2005
Last updated
05/24/2012
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