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Individual

ANNA GRIGORYEVA

Active
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Individual

ANNA GRIGORYEVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD435059
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102323756 0001
PA
01
120420405
DEPT OF LABOR
PA
01
2212067
MAMSI
PA
01
25-1716306
INTERGROUP
PA
01
276094
UNISON
PA
01
50086443
CAPITAL BLUECROSS
PA
01
6955538
AETNA HMO
PA
01
867633
MEDICARE GROUP #
PA
01
9214076
AETNA NON-HMO
PA
01
G920-0120/KDM4CU
CAREFIRST
PA
01
GR2105179
HIGHMARK BLUE SHIELD
PA
01
MD435059
LICENSE
PA
01
P00741669
RAILROAD MEDICARE
PA
Enumeration date
06/06/2007
Last updated
03/07/2023
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