Individual
MR. OLEG GEORGIEVICH KOVALENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21097 NE 27TH CT, AVENTURA, FL 33180-1204
(305) 682-9877
Mailing address
19634 E COUNTRY CLUB DR, MIAMI, FL 33180-2525
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
C141557
CA
2080P0202X
Pediatric Cardiology Physician
ME157181
FL
2080P0202X
Pediatric Cardiology Physician
Primary
U9290
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115171900
—
FL
05
—
2961657
—
OH
Enumeration date
08/08/2008
Last updated
02/21/2024
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