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Contact Information

STANISLAV V BELYAEV, MD
603 W COUNTRY CLUB RD
ROSWELL, NM88201-5211
 Phone: 575-624-5624
 Fax: 575-622-4279
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for STANISLAV V BELYAEV · (Male)

NPI Number 1659368207
Status Active
Credentials MD
Entity Individual
Enumeration date 09/29/2005
Last updated 09/14/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 2003-0691
  • NM License # MD2003-0691
  • NM Medicaid 16500075
  • NM Other 324241YPPR MEDICARE PTAN
  • NM Other 780148 MEDICARE PTAN / ROSWELL CLINIC CORP
Hospital affiliation(s)
  • EASTERN NEW MEXICO MEDICAL CENTER - (Acute Care)
    405 W COUNTRY CLUB ROAD
    ROSWELL, NM 88201
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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