Doctor Name: | DR. YEVGENY SHUHATOVICH |
NPI Number: | 1003093253 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 036.129907 |
Business Practice Address: | 1200 Binz St Suite 100 Houston, TX - 770046900 |
Business Phone Number: | 7135201210 |
Business Fax Number: | 7134008302 |
Mailing Address: | 1200 Binz St, Suite 100 HOUSTON |
State: | TX |
Postal Code: | 770046900 |
Phone Number: | 7135201200 |
Fax Number: | 7134008302 |
NPI Enumeration Date: | 01/29/2008 |
NPI Last Update Date: | 09/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | 036.129907 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |