Provider Demographics
NPI:1578190963
Name:KORCHINA, VALERIYA (DO)
Entity type:Individual
Prefix:
First Name:VALERIYA
Middle Name:
Last Name:KORCHINA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7009 KINGSTON PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5706
Mailing Address - Country:US
Mailing Address - Phone:865-588-8143
Mailing Address - Fax:865-212-3636
Practice Address - Street 1:7009 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5706
Practice Address - Country:US
Practice Address - Phone:865-588-8143
Practice Address - Fax:865-450-3172
Is Sole Proprietor?:No
Enumeration Date:2020-03-25
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.015750207Q00000X
TN5304207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine