Konykhov, Olga

Konykhov, Olga is an individual health care provider with primary practice located at 87 Grandview Ave , Waterbury CT 06708-2514. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Konykhov, Olga can be contacted via phone (203) 574-2020.

Contact Information

Primary practice address
87 Grandview Ave Waterbury CT 06708-2514
Fax: (203) 596-2230
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 46287 Connecticut

Profile Details

NPI number 1245375880
LBN Legal business name Konykhov, Olga
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jan 24th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245375880 NPPES
Connecticut MEDICAID 1245375880

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