MEDICARE: EUGENE VERKHOVSKY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	62771	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164836516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EUGENE VERKHOVSKY M.D.

Provider Business Mailing Address
First Line	:	3260 N HAYDEN RD STE 112
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-6650
Country	:	US
Telephone Number	:	602-264-9100
Fax Number	:	602-264-9101

Provider Business Practice Location Address
First Line	:	5823 W EUGIE AVE STE A
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85304-1277
Country	:	US
Telephone Number	:	602-843-1265
Fax Number	:	602-843-1297

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2014
Last Update Date	:	05/20/2025

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Directions to “ EUGENE VERKHOVSKY M.D.” Practice Location

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