Individual
EVGENIY A SHCHELCHKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 OVERLOOK DR, CANONSBURG, PA 15317-2657
(724) 941-6057
Mailing address
225 OVERLOOK DR, CANONSBURG, PA 15317-2657
(724) 941-6057
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101235474
VA
2084N0400X
Neurology Physician
Primary
MD421060
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010044791
—
VA
01
—
10028259
OPTIMA/SENTARA
VA
05
—
1649276668
—
VA
01
—
345616
ANTHEM
VA
01
—
5927775
CIGNA
VA
01
—
7730501
AETNA
VA
Enumeration date
06/23/2005
Last updated
10/18/2022
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