Provider Demographics
NPI:1962256180
Name:YUNZHUROVA, INNA (MD)
Entity type:Individual
Prefix:
First Name:INNA
Middle Name:
Last Name:YUNZHUROVA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:465 W. PUTNAM AVENUE
Mailing Address - Street 2:GME
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257
Mailing Address - Country:US
Mailing Address - Phone:559-784-1110
Mailing Address - Fax:
Practice Address - Street 1:465 W. PUTNAM AVENUE
Practice Address - Street 2:
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257
Practice Address - Country:US
Practice Address - Phone:217-407-4348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-15
Last Update Date:2025-03-28
Deactivation Date:2024-11-29
Deactivation Code:
Reactivation Date:2025-03-28
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program