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Contact Information

IGOR V AKSENOV, MD
4700 WATERS AVE STE 507
SAVANNAH, GA31404-6220
 Phone: 912-350-4750
 Fax: 912-350-4751
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for IGOR V AKSENOV · (Male)

NPI # 1699854224
Status Active
Credentials MD
Entity Individual
Enumeration date 11/03/2006
Last updated 01/25/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME94813
  • GA License # 062644
  • GA Medicaid 321479371A
  • GA Medicaid 321479371B
  • SC Medicaid G62644
  • Other 01286490 AMERIGROUP
  • GA Other P00733491 RAILROAD MEDICARE
  • GA Other 518768 WELLCARE
Hospital affiliation(s)
  • MEMORIAL HEALTH UNIV MED CEN INC - (Acute Care)
    4700 WATERS AVENUE
    SAVANNAH, GA 31403
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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