| Galina Rivkin Inc | |
|
12131 Dorsett Road Suite 123 Maryland Heights MO 63043 | |
| (314) 770-1777 | |
| Not Available |
| Full Name | Galina Rivkin Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12131 Dorsett Road, Maryland Heights, Missouri |
| Authorized Official Name and Position | Galina Rivkin (PRESIDENT) |
| Authorized Official Contact | 3147701777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Galina Rivkin Inc 12131 Dorsett Road Suite 123 Maryland Heights MO 63043 Ph: (314) 770-1777 | Galina Rivkin Inc 12131 Dorsett Road Suite 123 Maryland Heights MO 63043 Ph: (314) 770-1777 |
| NPI Number | 1265654438 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 03/16/2011 |
| Medicare PECOS PAC ID | 0648403972 |
|---|---|
| Medicare Enrollment ID | O20140512001022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265654438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2004028648 (Missouri) | Primary |
| Provider Name | Galina Rivkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285675793 PECOS PAC ID: 7911956545 Enrollment ID: I20050120000568 |
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