Provider Demographics
NPI:1861622813
Name:ALEX SENCHENKOV, M.D.
Entity type:Organization
Organization Name:ALEX SENCHENKOV, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:SENCHENKOV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:507-398-2753
Mailing Address - Street 1:5612 PHILLIPS AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-2205
Mailing Address - Country:US
Mailing Address - Phone:412-337-3886
Mailing Address - Fax:412-421-1585
Practice Address - Street 1:5612 PHILLIPS AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-2205
Practice Address - Country:US
Practice Address - Phone:412-337-3886
Practice Address - Fax:412-421-1585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty