Doctor Name: | DR. MYKOLA MOHUCHY |
NPI Number: | 1093717886 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | D0073352 |
Business Practice Address: | 162 Via Monte Doro Redondo Beach, CA - 902776440 |
Business Phone Number: | 4242479607 |
Business Fax Number: | 4242479607 |
Mailing Address: | 162 Via Monte Doro, REDONDO BEACH |
State: | CA |
Postal Code: | 902776440 |
Phone Number: | 4242479607 |
Fax Number: | 4242479607 |
NPI Enumeration Date: | 08/11/2005 |
NPI Last Update Date: | 08/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | D0073352 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |