Oleg Yuryevich Sorokoumov in La Mesa - Critical Care Medicine

Oleg Yuryevich Sorokoumov - NPI 1306870548

Oleg Yuryevich Sorokoumov is a Critical Care Medicine in La Mesa, California. Oleg Yuryevich Sorokoumov practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Oleg Yuryevich Sorokoumov is 1306870548. The last update date is 2015-12-10.

Oleg Yuryevich Sorokoumov's current location address is 5555 Grossmont Center Dr, La Mesa, California. You can contact this provider via phone number 8582483634 and fax number 8587510588. The mailing address for Oleg Yuryevich Sorokoumov is 5555 Grossmont Center Dr, La Mesa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Oleg Yuryevich Sorokoumov
Address 5555 Grossmont Center Dr, La Mesa, California
Phone Number 8582483634
Fax Number 8587510588
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1306870548
Provider Enumeration Date 2006-07-11
Last Updated Date 2015-12-10

Provider Mailing Address Detail

Address 5555 Grossmont Center Dr
City La Mesa
State California (CA)
Post Code 919423019
Phone Number 8582483634
Fax Number 8587510588

Provider's Primary Taxonomy Detail

Speciality Critical Care Medicine
Taxonomy 207Rc0200X
Licence No 48325
Definition:
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
FY773 CA MEDICARE
1306870548 CA --

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FAQs about Oleg Yuryevich Sorokoumov

What is the Oleg Yuryevich Sorokoumov's 1306870548?

The Oleg Yuryevich Sorokoumov's NPI (National Provider Identifier) Number is 1306870548. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Oleg Yuryevich Sorokoumov located?

The Oleg Yuryevich Sorokoumov is located at 5555 Grossmont Center Dr, La Mesa, CA 919423019.

What is the Oleg Yuryevich Sorokoumov's specialty and taxonomy code?

The Oleg Yuryevich Sorokoumov's specialty is Critical Care Medicine, and the corresponding taxonomy code is 207Rc0200X.

On what date did the Centers for Medicare & Medicaid Services assign the 1306870548 to Oleg Yuryevich Sorokoumov?

The Centers for Medicare & Medicaid Services assigned the 1306870548 to Oleg Yuryevich Sorokoumov on 2006-07-11.

When was the information regarding Oleg Yuryevich Sorokoumov most recently updated?

The details pertaining to the Oleg Yuryevich Sorokoumov, including its address, specialty, and other relevant information, were last refreshed on 2015-12-10.

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