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Dr. Roman Davidenko, MD
Student in an Organized Health Care Education/Training Program in Boardman, Ohio
NPI 1366739039

Roman Davidenko is a Student in an Organized Health Care Education/Training Program based in Boardman, OH. Roman Davidenko practices in Boardman, OH and has the professional credentials of MD. The NPI Number for Roman Davidenko is 1366739039 and holds a License No. 35-121391 (Ohio).

The current practice location address for Roman Davidenko is 4150 Oak Knoll Dr, Boardman, OH and can be reached out via phone at 330-328-2239.

Location: 4150 Oak Knoll Dr, Boardman, OH, 44512-1013
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
4150 Oak Knoll Dr, Boardman, OH, 44512-1013
Phone Number
330-328-2239
Fax Number
Provider Enumeration Date
07/01/2011
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
4150 Oak Knoll Dr
City
Boardman
State
Ohio
Zip
44512-1013
Phone Number
330-328-2239
Fax Number
person
Provider Business Mailing Address Details
Address
4150 Oak Knoll Dr
City
Boardman
State
Ohio
Zip
44512-1013
Phone Number
330-328-2239
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
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.
35-121391 (Ohio)
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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