DMITRIY SERGEEVICK TCKACHENKO

INDIANAPOLIS, IN
NPI1285645531
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: IN  01089003A)
Additional Taxonomies207L00000X Anesthesiology
(Licence: AZ  35378)
Enumeration Date2006-08-11
Last Update Date2023-05-03
Business Address
DMITRIY SERGEEVICK TCKACHENKO MD
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202-1239
Phone number: 317-577-4200
Mailing Address
DMITRIY SERGEEVICK TCKACHENKO MD
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: