Individual
OLEG URYASEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1640 OLD PECOS TRL, SUITE H, SANTA FE, NM 87505-4776
(505) 992-0233
Mailing address
1640 OLD PECOS TRL, SUITE H, SANTA FE, NM 87505-4776
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD2017-0084
NM
207P00000X
Emergency Medicine Physician
V5618
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2014
Last updated
02/20/2025
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