Individual
IGOR KRAVCHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7878 N 16TH ST STE 250, PHOENIX, AZ 85020
(602) 395-0718
(602) 277-8146
Mailing address
PO BOX 39179, PHOENIX, AZ 85069-9179
(602) 395-0718
(602) 277-8146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
37002
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340664
—
AZ
Enumeration date
01/12/2006
Last updated
09/18/2019
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