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Dr. Olga Dorjima Emgushov

Internist Pediatrician and 1 more

1350 Hickory St
Melbourne , Florida 32901-3224

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Image

Dr. Olga Dorjima Emgushov

Internist Pediatrician and 1 more

1350 Hickory St
Melbourne , Florida 32901-3224

(321) 951-7408

Write a Review Save Call

Dr. Olga Dorjima Emgushov

Internist Pediatrician and 1 more

1350 Hickory St
Melbourne , Florida 32901-3224

(321) 951-7408 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Internist
  • Pediatrician

Languages spoken

  • English

Location

1350 Hickory St Melbourne , Florida 32901-3224

First Address

  • Dr. Olga Dorjima Emgushov
  • 3300 S Fiske Blvd
  • Rockledge, FL
  • Zip : 32955-4306
  • Fax : (321) 951-7408
  • Phone : (321) 434-1981

Second Address

  • Dr. Olga Dorjima Emgushov
  • 1350 Hickory St
  • Melbourne, FL
  • Zip : 32901-3224
  • Fax : (321) 434-1775
  • Phone : (321) 434-1771

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FAQs


Where did Dr. Olga Dorjima Emgushov attend graduate school?

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Where did Dr. Olga Dorjima Emgushov do her residency?

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Where did Dr. Olga Dorjima Emgushov do her fellowship?

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Is Dr. Olga Dorjima Emgushov board certified?

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In what state does Dr. Olga Dorjima Emgushov practice in?

Florida

Where is Dr. Olga Dorjima Emgushov ’s practice located?

1350 Hickory St , Melbourne, Florida, 32901-3224

What is Dr. Olga Dorjima Emgushov ’s gender?

Female

Is Dr. Olga Dorjima Emgushov a sole practitioner?

No

Is Dr. Olga Dorjima Emgushov accepting new patients?

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What languages does Dr. Olga Dorjima Emgushov speak?

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Does Dr. Olga Dorjima Emgushov accept insurance?

Yes, Dr. Olga Dorjima Emgushov accepts insurance

Does Dr. Olga Dorjima Emgushov offers telemedicine?

Dr. Olga Dorjima Emgushov has not indicated if she offers telemedicine

What is Dr. Olga Dorjima Emgushov ’s professional license number?

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What is Dr. Olga Dorjima Emgushov ’s NPI number?

1003841222

Does Dr. Olga Dorjima Emgushov have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207R00000X Internist 023639 LA
N 111NI0900X Internist 023639 LA
N 207R00000X Internist MD 14803 HI
N 111NI0900X Internist MD 14803 HI
N 208000000X Pediatrician 023639 LA
N 208000000X Pediatrician MD14803 HI
N 208000000X Pediatrician ME94076 FL

National Provider Identifier

NPI 1003841222
Provider Name Dr. Olga Dorjima Emgushov
First Address Rockledge, FL 32955-4306
Second Address Melbourne, FL 32901-3224
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 12/07/2006
Last Update Date 25/09/2017

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
020269400 (05) FL
DK923X MEDICARE (01) FL

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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