Kazantsev, George B.

Kazantsev, George B. is an individual health care provider with primary practice located at 275 W Macarthur Blvd , Oakland CA 94611-5641. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kazantsev, George B. can be contacted via phone (510) 752-1000.

Contact Information

Primary practice address
275 W Macarthur Blvd Oakland CA 94611-5641
Phone: (510) 752-1000
Fax: (510) 832-6061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A83412 California

Profile Details

NPI number 1184687592
LBN Legal business name Kazantsev, George B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Jan 4th, 2022 - about 2 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 1184687592 NPPES
California MEDICAID GR0098240

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