Madievsky, Michael
Madievsky, Michael is an individual health care provider with primary practice located at 5525 Etiwanda Ave Ste 110 , Tarzana CA 91356-3642. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Madievsky, Michael can be contacted via phone (818) 996-4796.Contact Information
Primary practice address
5525 Etiwanda Ave Ste 110
Tarzana CA 91356-3642
Phone: (818) 996-4796
Fax: (844) 406-5413
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | A65040 | California |
Profile Details
| NPI number | 1982696613 |
|---|---|
| LBN Legal business name | Madievsky, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | May 12th, 2020 - about 5 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 | 1982696613 | NPPES |
| California | MEDICAID | 00A65040 |
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