Belyaev, Stanislav V
Belyaev, Stanislav V is an individual health care provider with primary practice located at 603 W Country Club Rd , Roswell NM 88201-5211. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Belyaev, Stanislav V can be contacted via phone (575) 624-5624.Contact Information
Primary practice address
603 W Country Club Rd
Roswell NM 88201-5211
Phone: (575) 624-5624
Fax: (575) 622-4279
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2003-0691 | New Mexico |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD2003-0691 | New Mexico |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD2003-0691 | New Mexico |
Profile Details
NPI number | 1659368207 |
---|---|
LBN Legal business name | Belyaev, Stanislav V |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 29th, 2005 |
Last updated | Sep 14th, 2020 - about 5 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 | 1659368207 | NPPES |
New Mexico | Other | 324241YPPR | MEDICARE PTAN |
New Mexico | MEDICAID | 16500075 | MEDICARE PTAN |
New Mexico | Other | 780148 | MEDICARE PTAN |
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