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Individual

IGOR KRICHEVSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 200-6965
Mailing address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101266664
VA
207L00000X
Anesthesiology Physician
042016
CT
207LP2900X
Pain Medicine (Anesthesiology) Physician
042016
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001420166
CT
Enumeration date
05/24/2005
Last updated
12/31/2021
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