Mykola Kolganov
Internist Family Doctor - Addiction Medicine
2351 E 22nd St Ste 338w
Cleveland
, Ohio 44115-3111
Mykola Kolganov
Internist Family Doctor - Addiction Medicine
2351 E 22nd St Ste 338w
Cleveland
, Ohio 44115-3111
(626) 200-8714
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About
Features
Specialties
- Family Doctor - Addiction Medicine
- Internist
Languages spoken
- English
Location
First Address
- Mykola Kolganov
- Po Box 5023
- Cleveland, OH
- Zip : 44101-0023
- Phone : (626) 200-8714
Second Address
- Mykola Kolganov
- 2351 E 22nd St Ste 338w
- Cleveland, OH
- Zip : 44115-3111
- Fax : (216) 363-7490
- Phone : (216) 861-6200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 35.139019 | OH |
| N | 207R00000X | Internist | 57.029851 | OH |
| N | 111NI0900X | Internist | 57.029851 | OH |
National Provider Identifier
| NPI | 1154841922 |
|---|---|
| Provider Name | Mykola Kolganov |
| First Address | Cleveland, OH 44101-0023 |
| Second Address | Cleveland, OH 44115-3111 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2017 |
| Last Update Date | 27/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.