Reznikov, Boris
Reznikov, Boris is an individual health care provider with primary practice located at 5936 Limestone Rd Suite 301, Hockessin DE 19707-8930. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Reznikov, Boris can be contacted via phone (302) 234-5800.Contact Information
Primary practice address
5936 Limestone Rd Suite 301
Hockessin DE 19707-8930
Phone: (302) 234-5800
Fax: (302) 234-2380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | MT193775 | Pennsylvania |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | MT193775 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | C1-0009120 | Delaware |
Profile Details
| NPI number | 1720242365 |
|---|---|
| LBN Legal business name | Reznikov, Boris |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2008 |
| Last updated | Feb 16th, 2010 - about 15 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 | 1720242365 | NPPES |
| Delaware | MEDICAID | 1720242365 | |
| Delaware | Other | 1720242365 |
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