Individual
DR. IVAN MICHAEL REBEYKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E BROAD ST, RICHMOND, VA 23219-1930
(804) 828-2467
(804) 828-8559
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0101262576
VA
Other
Enumeration date
09/27/2017
Last updated
03/17/2018
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