Individual
ILYA ZHAVORONKOV
Active
Individual
ILYA ZHAVORONKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
212591-2
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01982567
—
NY
01
—
103217AF
PREFERRED CARE
NY
01
—
2017
EXCELLUS BC/BS
NY
01
—
CAN212591-2W
WORKERS' COMPENSATION
NY
01
—
P010212591
EXCELLUS BLUE CHOICE
NY
Enumeration date
06/08/2006
Last updated
04/23/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up