Yuri Khodakov in Salt Lake City - Interventional Cardiology
Yuri Khodakov - NPI 1700099983
Yuri Khodakov is a Interventional Cardiology in Salt Lake City, Utah. Yuri Khodakov practices all healthcare services and medical treatments related to Interventional Cardiology. The NPI Number for Yuri Khodakov is 1700099983. The last update date is 2008-07-03.
Yuri Khodakov's current location address is Po Box 27128, Salt Lake City, Utah. You can contact this provider via phone number 8013872650 and fax number 8013872655. The mailing address for Yuri Khodakov is Po Box 27128, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Yuri Khodakov |
|---|---|
| Address | Po Box 27128, Salt Lake City, Utah |
| Phone Number | 8013872650 |
| Fax Number | 8013872655 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1700099983 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2008-07-03 |
Provider Mailing Address Detail
| Address | Po Box 27128 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841270128 |
| Phone Number | 8013872650 |
| Fax Number | 8013872655 |
Provider's Primary Taxonomy Detail
| Speciality | Interventional Cardiology |
|---|---|
| Taxonomy | 207Ri0011X |
| Licence No | 6656163-1205 |
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Definition: An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medicat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1114055241 | UT | -- |
Post Comment/ Review Below
What is the Yuri Khodakov's 1700099983?
The Yuri Khodakov's NPI (National Provider Identifier) Number is 1700099983. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Yuri Khodakov's physical address?
The Yuri Khodakov is physically located at Po Box 27128, in the city of Salt Lake City, UT, with the postal code 841270128.
What is the Yuri Khodakov's area of specialization and corresponding taxonomy classification?
The Yuri Khodakov's specialty field is Interventional Cardiology, and it falls under the taxonomy code 207Ri0011X, which categorizes healthcare providers based on their specialties.
On what date did the Yuri Khodakov receive the assignment of its 1700099983 from the Centers for Medicare & Medicaid Services?
The Yuri Khodakov was issued its 1700099983 by the Centers for Medicare & Medicaid Services on 2007-05-07.
When was the information regarding Yuri Khodakov, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Yuri Khodakov, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-07-03.