Matsiukevich, Dzmitry

Matsiukevich, Dzmitry is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Critical Care Med, Saint Louis MO 63110-1002. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Matsiukevich, Dzmitry can be contacted via phone (314) 454-2527.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Critical Care Med Saint Louis MO 63110-1002
Phone: (314) 454-2527
Fax: (314) 747-8880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 2019024454 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2019024454 Missouri
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 2019024454 Missouri

Profile Details

NPI number 1063790269
LBN Legal business name Matsiukevich, Dzmitry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2011
Last updated Apr 25th, 2024 - about 7 months 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 1063790269 NPPES
Missouri MEDICAID 200072068

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