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Individual
ALEXEI RADIONTCHENKO
Active
Individual
ALEXEI RADIONTCHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9801455
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1189C
BCBS - CATAWBA
NC
05
—
891189C
—
NC
01
—
G91367
UPIN
NC
Enumeration date
07/13/2006
Last updated
03/07/2023
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