| Doctor Name: | WALTER KORNIENKO |
| NPI Number: | 1184697765 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD038297E |
| Business Practice Address: | 2100 Keystone Ave Suite 200 Drexel Hill, PA - 190261129 |
| Business Phone Number: | 6102590240 |
| Business Fax Number: | 6102590606 |
| Mailing Address: | 207 N Broad St, 3rd Flr. PHILADELPHIA |
| State: | PA |
| Postal Code: | 191071500 |
| Phone Number: | 2154627100 |
| Fax Number: | 2154633820 |
| NPI Enumeration Date: | 02/13/2006 |
| NPI Last Update Date: | 08/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | MD038297E |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |