MEDICARE: DR. YEVGENIY ZENCHENKO 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	207Q00000X	Family Medicine Physician	2022-02718	NC

General Provider Information

NPI Number	:	1992152789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YEVGENIY ZENCHENKO M.D.

Provider Business Mailing Address
First Line	:	CARL R. DARNALL ARMY MEDICAL CENTER, 36065 SANTE FE AVE
Second Line	:
City	:	FORT HOOD
State	:	TX
Zip	:	76544
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 CUNNINGHAM LN
Second Line	:
City	:	CLAYTON
State	:	NC
Zip	:	27527-3923
Country	:	US
Telephone Number	:	919-359-6016
Fax Number	:	919-359-6017

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

Provider Enumeration Date	:	05/21/2016
Last Update Date	:	03/28/2026

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