Individual
DR. YURI A. DEYCHAK
Active
Individual
DR. YURI A. DEYCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0041311
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122018
AETNA
MD
01
—
12470009
BCBS
MD
05
—
1354612001
—
MD
01
—
221806
MDIPA
MD
01
—
493855
NCPPO
MD
Enumeration date
06/15/2005
Last updated
05/09/2013
Update your record
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