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Dr. Roman Davidenko, MD
Family Medicine Physician in Youngstown, Ohio
NPI 1366739039

Roman Davidenko is a Family Medicine Physician based in Youngstown, OH. Roman Davidenko practices in Youngstown, OH and has the professional credentials of MD. The NPI Number for Roman Davidenko is 1366739039 and holds a License No. (Ohio).

The current practice location address for Roman Davidenko is 500 Gypsy Ln, Youngstown, OH and can be reached out via phone at 330-884-3969. You can also correspond with Roman Davidenko through the mailing address at 500 GYPSY LN, YOUNGSTOWN, OH - 44504-1315 (mailing address contact number: 330-884-3969).

Location: 500 Gypsy Ln, Youngstown, OH, 44504-1315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366739039
Provider Name
Roman Davidenko
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
500 Gypsy Ln, Youngstown, OH, 44504-1315
Phone Number
330-884-3969
Fax Number
Provider Enumeration Date
07/01/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
500 Gypsy Ln
City
Youngstown
State
Ohio
Zip
44504-1315
Phone Number
330-884-3969
Fax Number
person
Provider Business Mailing Address Details
Address
500 Gypsy Ln
City
Youngstown
State
Ohio
Zip
44504-1315
Phone Number
330-884-3969
Fax Number
330-884-5678
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
35-121391 (Ohio)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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