Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 81863 | IL |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | MD60153763 | WA |
NPI | 1043468101 |
---|---|
Provider Name | Dr. Igor Uritskiy |
First Address | Seattle, WA 98124 |
Second Address | Issaquah, WA 98027 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2008 |
Last Update Date | 27/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2075182 | (05) | WA |