Individual
MR. YEGOR V PATRIKEYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, MS
Contact information
Practice address
2025 MORSE AVE, SACRAMENTO, CA 95825-2115
(916) 973-5275
Mailing address
6519 SYLVAN RD APT 212, CITRUS HEIGHTS, CA 95610-4485
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA17742
CA
363AS0400X
Surgical Physician Assistant
PA873
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048075
ANTHM
ME
05
—
431937099
—
ME
Enumeration date
03/21/2006
Last updated
01/03/2022
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