Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 036.129907 | IL |
NPI | 1003093253 |
---|---|
Provider Name | Dr. Yevgeny Shuhatovich |
First Address | Houston, TX 77004-6900 |
Second Address | Houston, TX 77004-6900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2008 |
Last Update Date | 09/09/2013 |