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Individual
IGOR V LEGOSTAEV
Active
Individual
IGOR V LEGOSTAEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
58067
GA
208M00000X
Hospitalist Physician
Primary
U0150
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00637907
RR MEDICARE
GA
Enumeration date
07/05/2006
Last updated
01/10/2023
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