Buyanov, Dmitriy

Buyanov, Dmitriy is an sole proprietor health care provider with primary practice located at 2425 Babcock Rd. Ste 108, San Antonio TX 78229-4899. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Buyanov, Dmitriy can be contacted via phone (210) 616-9400.

Contact Information

Primary practice address
2425 Babcock Rd. Ste 108 San Antonio TX 78229-4899
Phone: (210) 616-9400
Fax: (210) 616-9402
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X L7996 Texas
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X L7996 Texas

Profile Details

NPI number 1124047261
LBN Legal business name Buyanov, Dmitriy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Apr 13th, 2012 - about 12 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 1124047261 NPPES
Texas MEDICAID 166300703

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