DR. BOGDAN IOANNIS PATEDAKIS LITVINOV (NPI# 1255868238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255868238 |
| Entity Type | Individual |
| Full Name | DR. BOGDAN IOANNIS PATEDAKIS LITVINOV |
| Credential | MD |
| Practice Address |
15 York Street Lci 910 New Haven CT 06520-8018 |
| Practice Telephone | (203) 785-4085 |
| Mailing Telephone | 2037854085 |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-05-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
15 YORK STREET LCI 910 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06520-8018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841258282 | Christine J Ko | Dermatology | 15 York Street, Lmp 5031, New Haven, CT 06510 | 2006-05-03 |
| 1184154106 | Benjamin Perea | Student in an Organized Health Care Education/Training Program | 15 York Street, Lmp 1091b, New Haven, CT 06520 | 2017-06-13 |
| 1497104822 | Anna S Eisenstein | Dermatology | 15 York Street, Lmp 5040, New Haven, CT 06510-3220 | 2016-06-07 |
| 1083063549 | Nan Guo Ring | Dermatology | 15 York Street, Ynhh Dept of Medicine, Lmp 1092, New Haven, CT 06520-8030 | 2016-06-06 |
| 1144678921 | Caleb Kelly | Student in an Organized Health Care Education/Training Program | 15 York Street, Ynhh Dept of Medicine, Lmp 1092, New Haven, CT 06520-8030 | 2016-06-02 |
| 1689036279 | Panos Alexis Stathopoulos | Student in an Organized Health Care Education/Training Program | 15 York Street, Neurology Dpt, Yale, New Haven, CT 06520-8018 | 2016-03-23 |
| 1225461932 | Jennifer Foshay Ruby | Nurse Practitioner | 15 York Street, Lmp 1080, New Haven, CT 06510 | 2013-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881124626 | Kathryn Elliott Nagel | Student in an Organized Health Care Education/Training Program | 15 York Street, Lmp 1091b, Ynhh - Im Pediatrics, New Haven, CT 06520 | 2017-06-14 |
| 1013399666 | Cosman Camilo Mandujano | Student in an Organized Health Care Education/Training Program | 330 Cedar Street Ynhh, Department of Surgery, New Haven, CT 06520 | 2015-06-19 |
| 1457619751 | Andrew Philip Notarianni | Anesthesiology | 333 Cedar St., Tompkins 3, Yusm Department of Anesthesiology, New Haven, CT 06520 | 2012-04-25 |
| 1619254992 | Deniz Balci | Student in an Organized Health Care Education/Training Program | Ankara Universitesi Ibni Sina Hastanesi, Genel Cerrahi Ad. Sihhiye, Ankara, ANKARA 06520 | 2011-11-15 |
| 1427333244 | Alexander Goehler | Radiology | 333 Cedar Steet, Yale New Haven Hospital, New Haven, CT 06520 | 2011-10-12 |
| 1841529575 | Maison Chen | Radiology | 333 Cedar St, Te2, Yale Dx Radiology, New Haven, CT 06520 | 2009-12-08 |
| 1134394323 | Nicole Marie Brown | Pediatrics | 333 Cedar Street Shm Ie-61, New Haven, CT 06520 | 2008-04-28 |
| 1851566228 | Arianne Jeaneve Boylan | Neurological Surgery | Yale Department of Neurosurgery, 333 Cedar Street, New Haven, CT 06520 | 2008-04-28 |
| 1679757629 | William Gee Chang | Internal Medicine | Bb114 330 Cedar St, Yale Nephrology, New Haven, CT 06520 | 2007-12-27 |
| 1447458666 | Alejandra Valencia | Psychologist | 230 South Frontage Rd., The Yale Child Study Center, New Haven, CT 06520 | 2007-07-10 |
| Find all providers in zip 06520 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019689 | Mallori Wisuri | Student in an Organized Health Care Education/Training Program | 14505 Old 24 E, New Haven, IN 46774-9013 | 2020-06-27 |
| 1952920019 | Nazli Dizman | Student in an Organized Health Care Education/Training Program | 20 York St Tompkins 226, New Haven, CT 06510-3220 | 2020-04-09 |
| 1972132314 | Ross David Logan | Student in an Organized Health Care Education/Training Program | 20 York St Ste 226, New Haven, CT 06510-3220 | 2020-04-07 |
| 1194354043 | Christian Keene | Student in an Organized Health Care Education/Training Program | 625 Orange St Apt 43, New Haven, CT 06511-3840 | 2020-04-03 |
| 1639706146 | Kevin Jiang | Student in an Organized Health Care Education/Training Program | 330 Orchard St Ste 207, New Haven, CT 06511-4429 | 2020-03-25 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1275166407 | Joshua Braden | Student in an Organized Health Care Education/Training Program | 32277 Salt River Cir N, New Haven, MI 48048-3331 | 2020-02-17 |
| 1871125401 | Taylor Alexandra Babin | Student in an Organized Health Care Education/Training Program | 166 Hall St, New Haven, CT 06512-3148 | 2020-02-11 |
| 1952962649 | Su Jung Kim | Student in an Organized Health Care Education/Training Program | 111 Park St Apt 12t, New Haven, CT 06511-5421 | 2019-06-24 |
| 1144880691 | Durga Thakral | Student in an Organized Health Care Education/Training Program | 367 Cedar St Ste 317, New Haven, CT 06510-3222 | 2019-06-17 |
| Find all providers in NEW HAVEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.