Ilya Perepelitsyn in Minneapolis - Otolaryngology/facial Plastic Surgery
Ilya Perepelitsyn - NPI 1992795058
Ilya Perepelitsyn is a Otolaryngology/facial Plastic Surgery in Minneapolis, Minnesota. Ilya Perepelitsyn practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Ilya Perepelitsyn is 1992795058. The last update date is 2013-06-13.
Ilya Perepelitsyn's current location address is 2211 Park Ave, Minneapolis, Minnesota. You can contact this provider via phone number 6128711144 and fax number 6128712012. The mailing address for Ilya Perepelitsyn is 2211 Park Ave, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ilya Perepelitsyn |
|---|---|
| Address | 2211 Park Ave, Minneapolis, Minnesota |
| Phone Number | 6128711144 |
| Fax Number | 6128712012 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1992795058 |
|---|---|
| Provider Enumeration Date | 2005-10-28 |
| Last Updated Date | 2013-06-13 |
Provider Mailing Address Detail
| Address | 2211 Park Ave |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554043711 |
| Phone Number | 6128711144 |
| Fax Number | 6128712012 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology/facial Plastic Surgery |
|---|---|
| Taxonomy | 207Yx0905X |
| Licence No | 219565 |
|
Definition: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 305473200 | MN | -- | |
| AA11436 | MA | HARVARD PILGRIM | |
| J27270 | MA | BLUE CROSS BLUE SHIELD | |
| 34756700 | WI | -- |
Post Comment/ Review Below
What is the Ilya Perepelitsyn's unique identification number?
The Ilya Perepelitsyn has been assigned the NPI (National Provider Identifier) Number 1992795058 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Ilya Perepelitsyn's physical address?
The Ilya Perepelitsyn is physically located at 2211 Park Ave, in the city of Minneapolis, MN, with the postal code 554043711.
What is Ilya Perepelitsyn's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ilya Perepelitsyn is Otolaryngology/facial Plastic Surgery, and the taxonomy code that categorizes this field of expertise is 207Yx0905X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1992795058 to Ilya Perepelitsyn?
The Centers for Medicare & Medicaid Services originally issued the 1992795058 to Ilya Perepelitsyn on 2005-10-28.
As of what date were the Ilya Perepelitsyn's details last updated?
The information pertaining to the Ilya Perepelitsyn, including its address, specialty, and other details, was most recently updated on 2013-06-13.