Individual
DR. MAKSIM YURYEVICH KHAYZNIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 HOWARD AVE, ALTOONA, PA 16601-4804
(814) 889-2011
Mailing address
1800 HARRISON ST, 7TH FLOOR, OAKLAND, CA 94612-3429
(510) 625-5356
(877) 738-4262
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2019-00094
NC
207R00000X
Internal Medicine Physician
Primary
A145405
CA
207R00000X
Internal Medicine Physician
MD61000079
WA
Other
Enumeration date
08/11/2013
Last updated
01/26/2022
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