Individual
KSENIA SKOROHODOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
703 RIVERWAY PL, BEDFORD, NH 03110-6745
(603) 627-1661
(603) 669-6944
Mailing address
703 RIVERWAY PL, BEDFORD, NH 03110-6745
(603) 627-1661
(603) 669-6944
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
315671
NY
2085R0202X
Diagnostic Radiology Physician
33106
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2017
Last updated
08/13/2024
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