Individual
MS. IRINA KOROBKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106
(215) 844-2400
(216) 844-1703
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
57.009379
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2980707
—
OH
01
—
P00771655
MEDICARE RAILROAD
OH
Enumeration date
05/07/2007
Last updated
07/15/2011
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