Individual
PAVEL SHEVTSOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
88124
MT
207RR0500X
Rheumatology Physician
Primary
57921
KY
363LF0000X
Family Nurse Practitioner
NUR-APRN-LIC-102167
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/02/2016
Last updated
06/09/2025
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