DMITRY BOLKHOVETS (NPI# 1588636732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588636732 |
| Entity Type | Individual |
| Full Name | DMITRY BOLKHOVETS |
| Other Name | DMITIRY SEREYEVICH BOLKHOVETS |
| Credential | M.D. |
| Practice Address |
67 Dora St Apt 3 Stamford CT 06902-5414 |
| Mailing Address |
11995 Singletree Ln Suite 500 Eden Prairie MN 55344-5347 |
| Practice Telephone | 9525951100 |
| Practice Fax Number | 6122944903 |
| Mailing Telephone | 9525951301 |
| Mailing Fax Number | 6122944903 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2018-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
042897 | CT | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
223385 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
67 DORA ST APT 3 |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-5414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043242 | Palak Bhambri | Pharmacist | 537 Canal Street, Stamford, CT 06902 | 2019-09-26 |
| 1730654815 | Brenice Duroseau | Nurse Practitioner | 292 Long Ridge Rd Ste 202, Stamford, CT 06902 | 2018-10-04 |
| 1447732862 | Ngoc Lam | Pharmacist | 1990 West Main Street, Stamford, CT 06902 | 2018-09-01 |
| 1336627264 | Margaret F Gorelick | Nurse Practitioner | Stamford Health, One Hospital Plaza, Stamford, CT 06902 | 2018-08-02 |
| 1174053425 | Ashley Marie Santana | Social Worker | 110 Commons Park N Apt 1158, Stamford, CT 06902 | 2017-06-19 |
| 1578090395 | Anas Al-sabbagh | Dentist | 1 Strawberry Hill Court Suite L7 Stamford, Connecticut, Stamford, CT 06902 | 2017-05-11 |
| 1154862936 | Hillary Rubin | Psychologist | 44 Commerce Avenue, Stamford, CT 06902 | 2017-03-14 |
| 1801332135 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 Hospital Plz Ste G122, Stamford, CT 06902 | 2017-01-10 |
| 1932563277 | Mary Hurtadodemendoza | Pharmacist | 59 Courtland Ave 2m, Stamford, CT 06902 | 2016-04-13 |
| 1235592247 | Advanced Therapy and Performance LLC | Physical Medicine & Rehabilitation | 75 Selleck Street, Stamford, CT 06902 | 2016-03-29 |
| Find all providers in zip 06902 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760964001 | Integrated Health Administrative Services, Inc. | Radiology | 1011 Hope St Ofc E, Stamford, CT 06907-2121 | 2018-09-04 |
| 1083863617 | Tal Baruch Delman | Radiology | 75 Tresser Blvd, Apt 476, Stamford, CT 06901-3329 | 2008-09-18 |
| 1689620569 | William Harley | Radiology | 6 Shelburne Rd, Stamford, CT 06902-3628 | 2006-05-25 |
| 1588618540 | Stamford Radiological Associates | Radiology | 76 Progress Dr, Stamford, CT 06902-3600 | 2006-05-22 |
| 1063405819 | Mark A Edelman | Radiology | 1290 Summer St Ste 2100, Stamford, CT 06905-5340 | 2005-08-26 |
| 1144212481 | Amy H Sherman | Radiology | 32 Strawberry Hill Ct Fl 2, Stamford, CT 06902-2594 | 2005-08-22 |
| 1346883923 | Stamford Hospital District | Radiology | 1601 Columbia St, Stamford, TX 79553-6863 | 2019-10-25 |
| 1083057061 | Jessica Danielle Kondraciuk | Radiology | 32 Strawberry Hill Ct Fl 2, Stamford, CT 06902 | 2013-04-09 |
| 1316291164 | Aris Radiology Professionals of Michigan PC | Radiology | 1 Hospital Plz, Stamford, CT 06902-3602 | 2012-11-01 |
| 1770852667 | Southwest Connecticut Radiology, LLC | Radiology | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2011-12-21 |
| Find all providers in STAMFORD | ||||
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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.