Allakhverdova, Larisa I
Allakhverdova, Larisa I is an individual health care provider with primary practice located at 1225 E Coolspring Ave , Michigan City IN 46360-6312. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Allakhverdova, Larisa I can be contacted via phone (219) 873-2919.Contact Information
Primary practice address
1225 E Coolspring Ave
Michigan City IN 46360-6312
Phone: (219) 873-2919
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 228819 | New York |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01057834A | Indiana |
Profile Details
| NPI number | 1144219023 |
|---|---|
| LBN Legal business name | Allakhverdova, Larisa I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Mar 27th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144219023 | NPPES |
| Kentucky | Other | P01186413 | MEDICARE RAILROAD |
| Kentucky | MEDICAID | 02844177 | MEDICARE RAILROAD |
| Kentucky | MEDICAID | 200805060 | MEDICARE RAILROAD |
| Kentucky | Other | M47140293 | MEDICARE RAILROAD |
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