Drevyanko, Timothy Floyd

Drevyanko, Timothy Floyd is an individual health care provider with primary practice located at 1212 Pleasant #Ll3, Des Moines IA 50309-1414. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Drevyanko, Timothy Floyd can be contacted via phone (515) 241-8866.

Contact Information

Primary practice address
1212 Pleasant #Ll3 Des Moines IA 50309-1414
Phone: (515) 241-8866
Fax: (515) 241-8855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 23131 Iowa

Profile Details

NPI number 1134237225
LBN Legal business name Drevyanko, Timothy Floyd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Oct 14th, 2011 - about 13 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 1134237225 NPPES
Iowa MEDICAID 7037903

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