Individual
DR. ILYA ALEXANDER SAKHARUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(239) 898-9583
Mailing address
434 VAUGHN RD, MARTINEZ, GA 30907-8916
(239) 898-9583
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
11076
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2019
Last updated
03/24/2024
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