Individual
HRISTELINA S. ILIEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
909 WALNUT STREET 2ND FLOOR, PHILADELPHIA, PA 19107-3342
(215) 955-1234
(215) 955-6792
Mailing address
4400 BROADWAY STE 520, KANSAS CITY, MO 64111-3342
(816) 960-7601
(816) 960-7699
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
MD469267
PA
2084N0400X
Neurology Physician
2017017634
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2010
Last updated
11/12/2019
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