Individual
DR. ALEKSANDR KORNIYENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2608 MCDONALD RD, TYLER, TX 75701-5934
(903) 595-5514
Mailing address
901 TURTLE CREEK DR, TYLER, TX 75701-1947
(903) 596-3651
(903) 594-2038
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
Q3220
TX
208M00000X
Hospitalist Physician
49470
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/06/2010
Last updated
07/16/2015
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