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NPI Code Detail

MEDICARE: SERGEY VALERYEVICH ANTIPENKO MD, PHD

MEDICARE:   SERGEY VALERYEVICH ANTIPENKO  MD, PHD
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
12084N0400XNeurology Physician2026-00106NC

General Provider Information

NPI Number : 1336883073
Entity Type Code : Individual
Provider Name (Legal Business Name) : SERGEY VALERYEVICH ANTIPENKO MD, PHD
Provider Business Mailing Address
First Line : 2181 MYRTLEWOOD DR
Second Line :
City : VESTAVIA HILLS
State : AL
Zip : 35216-5174
Country : US
Telephone Number : 334-467-7807
Fax Number :
Provider Business Practice Location Address
First Line : 300 MEADOWMONT VILLAGE CIR STE 202
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27517-7518
Country : US
Telephone Number : 984-974-4401
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2022
Last Update Date : 01/16/2026

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