Provider Demographics
NPI:1104346337
Name:SHLYKOV, MAKSIM ALEKSANDROVICH (MD)
Entity type:Individual
Prefix:DR
First Name:MAKSIM
Middle Name:ALEKSANDROVICH
Last Name:SHLYKOV
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:301 SAINT PAUL ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-2102
Mailing Address - Country:US
Mailing Address - Phone:410-539-3434
Mailing Address - Fax:410-539-3550
Practice Address - Street 1:301 SAINT PAUL ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-2102
Practice Address - Country:US
Practice Address - Phone:410-539-3434
Practice Address - Fax:410-539-3550
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2022011100207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine