Byazrova, Eteri S

Byazrova, Eteri S is an individual health care provider with primary practice located at 122 W 7Th Ave Suite 310, Spokane WA 99204-2349. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as her primary health care specialty. Byazrova, Eteri S can be contacted via phone (509) 838-7711.

Contact Information

Primary practice address
122 W 7Th Ave Suite 310 Spokane WA 99204-2349
Phone: (509) 838-7711
Fax: (509) 747-4664
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X MD45949 Washington

Profile Details

NPI number 1790738060
LBN Legal business name Byazrova, Eteri S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Dec 31st, 2015 - about 9 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 1790738060 NPPES
Idaho MEDICAID 807399200

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