Whalio Doctors

NPI 1023569852

Evgueni Roudachevski, D.O.

Organisation Geriatric Medicine (Internal Medicine) Physician Little Rock, AR

Practice location

Address
11912 Kanis Rd Suite F2, Little Rock, AR 72211-3733
Phone
(501) 227-8020
Fax
(501) 227-8826

Authorised official

Name
Evgueni Roudachevski
Title
Owner
Phone
(501) 227-8020

Registered specialties

Geriatric Medicine (Internal Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207RG0300X Licence E-2957 (AR)

Registry record

NPI
1023569852
Entity type
Organization
NPI issued
17 Oct 2016
Record last updated
17 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.