Elena L Goncharova Md Pc

LBN: Elena L Goncharova Md Pc
Elena L Goncharova Md Pc is an health care organization with primary practice located at 425 E 5350 S Ste 335, Ogden UT 84405-6946. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Elena L Goncharova Md Pc can be contacted via phone (801) 475-5100, or through Goncharova, Elena L via phone (801) 475-5100.

Contact Information

Primary practice address
425 E 5350 S Ste 335 Ogden UT 84405-6946
Phone: (801) 475-5100
Fax: (801) 475-8580
Website:
Map and Directions
Authorized official contact:
Name: Goncharova, Elena L Doctor of Medicine (MD)
Phone: (801) 475-5100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 53786511205 Utah

Profile Details

NPI number 1912102997
LBN Legal business name Elena L Goncharova Md Pc
DBA Doing business as
Authorized official Goncharova, Elena L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2007
Last updated May 21st, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912102997 NPPES
Other $$$$$$$$$ OWNERS SSN

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