Khvatsky, Dmitry

Khvatsky, Dmitry is an individual health care provider with primary practice located at 2450 Ashby Ave , Berkeley CA 94705-2067. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Khvatsky, Dmitry can be contacted via phone (510) 204-4444.

Contact Information

Primary practice address
2450 Ashby Ave Berkeley CA 94705-2067
Phone: (510) 204-4444
Fax: (510) 649-8287
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A97563 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A97563 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A97563 California

Profile Details

NPI number 1457536427
LBN Legal business name Khvatsky, Dmitry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2008
Last updated Jul 21st, 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 1457536427 NPPES
California Other A97563 STATE LICENSE

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