Individual
ZAMIR EIDELMAN
Active
Individual
ZAMIR EIDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
103582
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103582
MEDICAL LICENSE
MO
01
—
20832
BNDD
MO
05
—
208533034
—
MO
01
—
BE4913249
BNDD
MO
Enumeration date
10/17/2006
Last updated
03/12/2021
Update your record
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