Yelena Chistyakova M.D.

NPI 1295944056 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1295944056
Gender Female
Enumeration Date 05/21/2007
Last Updated 03/03/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
2430 FAIRLANE DR
BLDG C SUITE 7
MONTGOMERY AL, 36116-1642, US
Phone (334) 409-9090
Fax
Business Location
2430 FAIRLANE DR
BLDG C SUITE 7
MONTGOMERY AL, 36116-1642, US
Phone
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State Alabama
License Number 31968
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According to our database, Yelena Chistyakova M.D. NPI is 1295944056, taxonomy code is 2084P0800X and license number is 31968, license state is located at Alabama. Yelena Chistyakova M.D. physically located at 2430 Fairlane Dr, Montgomery AL, 36116-1642. NPI Number Yelena Chistyakova M.D. has the Individual type.

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1295944056 NPI number is provided on an as is basis without warranty of any kind. 1295944056 is maintained by the National Plan & Provider Enumeration System. The contents of Yelena Chistyakova M.D. are for informational purposes only.