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Individual

LEONID VOLODIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1240 LEE ST, CHARLOTTESVILLE, VA 22908-0001
(800) 223-9173
(434) 243-0064
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
202982
LA
207R00000X
Internal Medicine Physician
MD.202982
LA
207RH0003X
Hematology & Oncology Physician
Primary
0101254576
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07881
LA
05
1078816
LA
05
180366001
AR
05
208912001
TX
Enumeration date
05/25/2007
Last updated
09/19/2013
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