Individual
DR. YURI KHIBKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 HOSPITAL DR STE 103, HOLYOKE, MA 01040-6603
(134) 535-4933
(413) 535-4934
Mailing address
10 HOSPITAL DR STE 103, HOLYOKE, MA 01040-6603
(134) 535-4933
(413) 535-4934
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01077041A
IN
207L00000X
Anesthesiology Physician
235329
NY
207L00000X
Anesthesiology Physician
27939
MA
208VP0014X
Interventional Pain Medicine Physician
01077041A
IN
208VP0014X
Interventional Pain Medicine Physician
Primary
279391
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02670157
—
NY
05
—
201366750
—
IN
Enumeration date
12/08/2006
Last updated
09/12/2019
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