Individual
ALEKSEY A PROK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1003 BELLEFONTAINE AVE STE 100, LIMA, OH 45804-1868
(419) 998-8234
Mailing address
# L-3652, COLUMBUS, OH 43260-6453
(740) 383-7927
(740) 383-7942
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
35.076781
OH
208VP0014X
Interventional Pain Medicine Physician
Primary
35.076781
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000360805
ANTHEM
OH
05
—
2136692
—
OH
Enumeration date
06/18/2006
Last updated
06/01/2023
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