Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 2013-00906 | NC |
NPI | 1003255357 |
---|---|
Provider Name | Dr. Yuriy Zeylikman |
First Address | Durham, NC 27705-4699 |
Second Address | Durham, NC 27705-4699 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2013 |
Last Update Date | 28/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003255357 | (05) | NC |
1255609038 | (05) | NC |
1801C | BCBS (01) |