Kharisova, Irina Yuryevna

Kharisova, Irina Yuryevna is an individual health care provider with primary practice located at 1350 Hickory St , Melbourne FL 32901-3224. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Neurology, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Kharisova, Irina Yuryevna can be contacted via phone (321) 434-3644.

Contact Information

Primary practice address
1350 Hickory St Melbourne FL 32901-3224
Phone: (321) 434-3644
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X ME151917 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME151917 Florida
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME151917 Florida

Profile Details

NPI number 1508397035
LBN Legal business name Kharisova, Irina Yuryevna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2017
Last updated Nov 3rd, 2023 - about last year

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 1508397035 NPPES
Florida MEDICAID 113755500
Florida Other PJ504

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