MEDICARE: OLGA V PYLAEVA MD

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
1	207R00000X	Internal Medicine Physician	35083374	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1508811811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLGA V PYLAEVA MD

Provider Business Mailing Address
First Line	:	721 TRICOLOR DR
Second Line	:
City	:	REYNOLDSBURG
State	:	OH
Zip	:	43068-6725
Country	:	US
Telephone Number	:	614-367-6061
Fax Number	:	614-706-5879

Provider Business Practice Location Address
First Line	:	3617 S OLD 3C HWY
Second Line	:
City	:	GALENA
State	:	OH
Zip	:	43021-9520
Country	:	US
Telephone Number	:	614-367-6061
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	10/05/2023

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Directions to “ OLGA V PYLAEVA MD” Practice Location

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