Oleg Sergeevich Kouskov
Pulmonary Disease Critical Care Medicine
2347 E Gala St
Meridian
, Idaho 83642-4881
Oleg Sergeevich Kouskov
Pulmonary Disease Critical Care Medicine
2347 E Gala St
Meridian
, Idaho 83642-4881
(208) 381-2222
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About
Features
Specialties
- Critical Care Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Oleg Sergeevich Kouskov
- 190 E Bannock St
- Boise, ID
- Zip : 83712-6241
- Phone : (208) 381-2222
Second Address
- Oleg Sergeevich Kouskov
- 2347 E Gala St
- Meridian, ID
- Zip : 83642-4881
- Phone : (208) 323-3767
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0200X | Critical Care Medicine | M11223 | ID |
| Y | 207RP1001X | Pulmonary Disease | M11223 | ID |
National Provider Identifier
| NPI | 1053521203 |
|---|---|
| Provider Name | Oleg Sergeevich Kouskov |
| First Address | Boise, ID 83712-6241 |
| Second Address | Meridian, ID 83642-4881 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2007 |
| Last Update Date | 23/01/2014 |
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.