Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuil Ivanovsky

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417698317

Samuil Ivanovsky is a Student in an Organized Health Care Education/Training Program in Little Rock, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Little Rock, AR

No coordinates on file. Search this address in Google Maps

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence E-19099 (AR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417698317
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 5, 2022
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026

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