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
Fax: (575) 622-4279
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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