Individual
DR. ILYA YEVGENIEVICH SHADRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
2301 ERWIN RD # DUMC3845, DURHAM, NC 27705-4699
(919) 684-8111
Mailing address
2301 ERWIN RD # DUMC3845, DURHAM, NC 27705-4699
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NC
Other
Enumeration date
03/29/2018
Last updated
07/13/2021
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