Organization
PHYSICIAN HOUSE CALL SERVICES LLC
Active
Parent organization
PHYSICIAN HOUSE CALL SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHYSICIAN HOUSE CALL SERVICES LLC
Authorized official
VYACHESLAV ISAKOV M.D. (MEDICAL DIRECTOR)
(216) 201-0339
Entity
Organization
Contact information
Practice address
402 SANDHURST DR, HIGHLAND HEIGHTS, OH 44143-3604
(216) 201-0339
Mailing address
402 SANDHURST DR, HIGHLAND HEIGHTS, OH 44143-3604
(216) 201-0339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
11/01/2010
Last updated
12/16/2010
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