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NPI Code Detail

MEDICARE: INNA SHKOLNIK

MEDICARE: INNA SHKOLNIK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172A00000XDriver

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275616138
Entity Type Code : Individual
Provider Name (Legal Business Name) : INNA SHKOLNIK
Provider Business Mailing Address
First Line : 1337 24TH AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94122-1616
Country : US
Telephone Number : 415-665-7744
Fax Number :
Provider Business Practice Location Address
First Line : 1337 24TH AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94122-1616
Country : US
Telephone Number : 415-665-7744
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2006
Last Update Date : 07/09/2007

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Directions to “ INNA SHKOLNIK ” Practice Location

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