Provider Demographics
NPI:1548670144
Name:RUBINCHIK, YAKOV (MD)
Entity type:Individual
Prefix:
First Name:YAKOV
Middle Name:
Last Name:RUBINCHIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4311 DOERUN CT
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-1684
Mailing Address - Country:US
Mailing Address - Phone:404-388-7788
Mailing Address - Fax:770-628-5183
Practice Address - Street 1:3325 PADDOCKS PKWY STE 415
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-6060
Practice Address - Country:US
Practice Address - Phone:770-750-4459
Practice Address - Fax:770-628-5183
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-05
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA824412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty