Individual
DR. DMITRI NIKOLAENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO, MS
Contact information
Practice address
1004 W 32ND ST UNIT 400, AUSTIN, TX 78705-1915
(512) 454-5171
(512) 454-0704
Mailing address
1004 W 32ND ST UNIT 400, AUSTIN, TX 78705-1915
(512) 454-5171
(512) 454-0704
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
S0958
TX
Other
Enumeration date
06/08/2012
Last updated
12/19/2022
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