Dr Ilya Fatakhov, MD | |
1 Hospital Plz Dept Of, Stamford, CT 06902-3602 | |
(203) 276-7298 | |
(203) 276-4842 |
Full Name | Dr Ilya Fatakhov |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 10 Years |
Location | 1 Hospital Plz Dept Of, Stamford, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508286576 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 56588 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Stamford Hospital | Stamford, CT | Hospital |
Griffin Hospital | Derby, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Stamford Health Medical Group Inc | 6901099746 | 356 |
Entity Name | Stamford Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154633980 PECOS PAC ID: 6901099746 Enrollment ID: O20101025000743 |
Mailing Address | Practice Location Address |
---|---|
Dr Ilya Fatakhov, MD 1 Hospital Plz Dept Of, Stamford, CT 06902-3602 Ph: (203) 276-7147 | Dr Ilya Fatakhov, MD 1 Hospital Plz Dept Of, Stamford, CT 06902-3602 Ph: (203) 276-7298 |
Jeanne M Hosinski, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3 Sweet Briar Rd, Stamford, CT 06905 Phone: 203-968-8101 | |
Dr. Santi J Neuberger, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1290 Summer St, Stamford, CT 06905 Phone: 203-324-9955 Fax: 203-324-0171 | |
Karishma Bellara, PA Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 190 W Broad St, Stamford, CT 06902 Phone: 203-348-2437 Fax: 203-276-7243 | |
Dr. Brian Barry Hennessy, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 90 Morgan St, Ste 202, Stamford, CT 06905 Phone: 203-348-2922 Fax: 203-358-8721 | |
Dr. Andreas Bub, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Hospital Plz, Stamford, CT 06902 Phone: 203-276-7147 | |
Katharine Meyers, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1450 Washington Blvd, Stamford, CT 06902 Phone: 203-327-9321 Fax: 203-967-2140 | |
Dr. Brian Sebastian Wojeck, M.D. M. P.H Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 260 Long Ridge Rd, Stamford, CT 06902 Phone: 203-737-1058 |