Individual
DR. ILIA GUEARGUIEV HALATCHEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 WALNUT ST STE 210, KANSAS CITY, MO 64106-2119
(314) 943-2429
Mailing address
1010 WALNUT ST STE 210, KANSAS CITY, MO 64106-2119
(314) 943-2429
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2010037285
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200016041
—
MO
Enumeration date
06/27/2007
Last updated
04/11/2024
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