Individual
DR. DMITRIY ZHIDOVETSKIY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3901 RAINBOW BLVD. 6040 DELP, MS 1020, DIVISION OF GENERAL AND GERIATRIC MEDICINE, UNIVERSITY, KANSAS CITY, KS 66160-0001
(913) 588-6005
(913) 588-3877
Mailing address
3901 RAINBOW BLVD. 4070 DELP, MS 4017, KANSAS UNIVERSITY PHYSICIANS, INC., KANSAS CITY, KS 66160-0001
(913) 588-2501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
05-37288
KS
207R00000X
Internal Medicine Physician
5315051258
MI
Other
Enumeration date
07/26/2011
Last updated
07/21/2022
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