OLEG LOGVINOVICH KIBUKEVICH MD
NPI 1407559610
Student in an Organized Health Care Education/Training Program in Towson, MD
About Oleg Logvinovich Kibukevich Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLEG LOGVINOVICH KIBUKEVICH MD (NPI 1407559610) is an individual student in an organized health care education/training program in Towson, Maryland and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Rochester.
NPPES Registry Identity
Specialties & Licenses
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Oleg Logvinovich Kibukevich Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21204
BALTIMORE, MD 21204
BALTIMORE, MD 21204
TOWSON, MD 21204
TOWSON, MD 21204
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407559610, enumerated as an "individual" on March 24, 2023.
The provider is located at 6565 N CHARLES ST STE 203 TOWSON, MD 21204 and the phone number is (443) 849-3760.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.