Individual provider · Type 1 NPI

Dmitry Bondarenko, MD

Student in an Organized Health Care Education/Training Program · Norfolk, VA

NPI number 1801632203 Active

Practice location

735 Fairfax Ave
Norfolk, VA 23507-2007

Call (757) 446-5910 Map

Mailing address

735 Fairfax Ave Ste 1017C
Norfolk, VA 23507-2007

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X0116039970 (VA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1801632203

Dmitry Bondarenko, MD's National Provider Identifier is 1801632203, issued on Jul 4, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Norfolk, VA. The record was last updated on Jul 4, 2024.