Individual
KSENYA SHLIAKHTSITSAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3010 CHILDRENS WAY, 2-WEST, SAN DIEGO, CA 92123
(858) 966-5811
Mailing address
5323 HARRY HINES BLVD # MC9063, DALLAS, TX 75390-7208
(214) 648-3896
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A125300
CA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
R8483
TX
Other
Enumeration date
10/29/2010
Last updated
08/31/2018
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