Ksenya Shliakhtsitsava
Pediatrician Pediatric Hematology-Oncologist
3010 Childrens Way 2-West
San Diego
, California 92123
Ksenya Shliakhtsitsava
Pediatrician Pediatric Hematology-Oncologist
3010 Childrens Way 2-West
San Diego
, California 92123
(214) 648-3896
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About
Features
Specialties
- Pediatrician
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Ksenya Shliakhtsitsava
- 5323 Harry Hines Blvd # Mc9063
- Dallas, TX
- Zip : 75390-7208
- Phone : (214) 648-3896
Second Address
- Ksenya Shliakhtsitsava
- 3010 Childrens Way 2-West
- San Diego, CA
- Zip : 92123
- Phone : (858) 966-5811
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | A125300 | CA |
| Y | 2080P0207X | Pediatric Hematology-Oncologist | R8483 | TX |
National Provider Identifier
| NPI | 1225338718 |
|---|---|
| Provider Name | Ksenya Shliakhtsitsava |
| First Address | Dallas, TX 75390-7208 |
| Second Address | San Diego, CA 92123 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/10/2010 |
| Last Update Date | 31/08/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.