Pelishev, Dmitriy M
Pelishev, Dmitriy M is an individual health care provider with primary practice located at 3088 Washington Rd , East Point GA 30344-4566. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pelishev, Dmitriy M can be contacted via phone (470) 444-3135.Contact Information
Primary practice address
3088 Washington Rd
East Point GA 30344-4566
Phone: (470) 444-3135
Fax: (404) 777-9336
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 062154 | Georgia |
Profile Details
| NPI number | 1457400251 |
|---|---|
| LBN Legal business name | Pelishev, Dmitriy M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Aug 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457400251 | NPPES |
| Georgia | MEDICAID | 321186974A |
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