Komarovskiy, Kateryna
Komarovskiy, Kateryna is an individual health care provider with primary practice located at 150 Pine Forest Dr Suite 103, Shenandoah TX 77384-5302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Komarovskiy, Kateryna can be contacted via phone (936) 755-4238.Contact Information
Primary practice address
150 Pine Forest Dr Suite 103
Shenandoah TX 77384-5302
Phone: (936) 755-4238
Fax: (936) 755-5979
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | N8941 | Texas |
Profile Details
NPI number | 1265694285 |
---|---|
LBN Legal business name | Komarovskiy, Kateryna |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2008 |
Last updated | Nov 3rd, 2016 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265694285 | NPPES |
New York | MEDICAID | 03024137 |
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