Individual
STANISLAV V BELYAEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2003-0691
NM
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD2003-0691
NM
207RP1001X
Pulmonary Disease Physician
Primary
MD2003-0691
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16500075
—
NM
01
—
324241YPPR
MEDICARE PTAN
NM
01
—
780148
MEDICARE PTAN / ROSWELL CLINIC CORP
NM
Enumeration date
09/29/2005
Last updated
09/14/2020
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.
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