| Evgueni Roudachevski, D.o. | |
|
11912 Kanis Rd Suite F2 Little Rock AR 72211-3733 | |
| (501) 227-8020 | |
| (501) 227-8826 |
| Full Name | Evgueni Roudachevski, D.o. |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 11912 Kanis Rd, Little Rock, Arkansas |
| Authorized Official Name and Position | Evgueni Roudachevski (OWNER) |
| Authorized Official Contact | 5012278020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evgueni Roudachevski, D.o. 11912 Kanis Rd Suite F2 Little Rock AR 72211-3733 Ph: (501) 227-8020 | Evgueni Roudachevski, D.o. 11912 Kanis Rd Suite F2 Little Rock AR 72211-3733 Ph: (501) 227-8020 |
| NPI Number | 1023569852 |
|---|---|
| Provider Enumeration Date | 10/17/2016 |
| Last Update Date | 10/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023569852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | E-2957 (Arkansas) | Primary |
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