Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
YAROSLAV KONDOUCH
ActiveYAROSLAV KONDOUCH is a Substance Abuse Psychiatric Nurse healthcare provider located in SHAKER HEIGHTS, Ohio. NPI 1801312640 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Psychiatric Nurse · SHAKER HEIGHTS, OH
Registration Details
- NPI Number
- 1801312640
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 14, 2017 (9.0426418838154 yrs)
- Last Updated
- Aug 14, 2017
- License
-
RN.378568 (OH)
Practice Information
- Address
-
20600 CHAGRIN BLVD STE 620SHAKER HEIGHTS, OH, 441225340Browse OH providers · Browse ZIP 44122
- Phone
- 2167514762
- Primary Specialty
-
Substance Abuse Psychiatric Nurse
163WP0809X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.