Individual
ANDREJ LYSHCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
111 S 11TH ST, SUITE 3390, PHILADELPHIA, PA 19107-4824
(215) 955-6226
(215) 923-1562
Mailing address
111 S 11TH ST, SUITE 3390, PHILADELPHIA, PA 19107-4824
(215) 955-6226
(215) 923-1562
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
46419
TN
2085R0202X
Diagnostic Radiology Physician
Primary
MD445598
PA
2085R0204X
Vascular & Interventional Radiology Physician
MD445598
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0309834
—
NJ
05
—
102711579
—
PA
Enumeration date
08/18/2007
Last updated
10/18/2016
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