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Individual
DR. ILYA YEGUDKIN
Active
Individual
DR. ILYA YEGUDKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A24875
CA
208D00000X
General Practice Physician
DO3957
NV
390200000X
Student in an Organized Health Care Education/Training Program
Primary
SL2023
NV
Other
Enumeration date
06/20/2023
Last updated
09/19/2026
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