IndividualActive
Artem Tkachenko, DO
NPI 1316688740 · General Practice Physician · Wpafb, OH
Provider details
- NPI number
- 1316688740
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 34.016980 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
88th Medical Group
4881 Sugar Maple Dr.
Wpafb, OH 45433
Phone: (937) 257-0837
Approximate (ZIP-level) locationGet directions
Mailing address
88th Medical Group
Wpafb, OH 45433
Registry dates
- Enumerated
- 2022-04-07
- Last updated
- 2024-12-11
- Certified
- 2024-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.