Podoltsev, Nikolai Alexandrovich
Podoltsev, Nikolai Alexandrovich is an individual health care provider with primary practice located at 333 Cedar St Yale University School Of Medicine, Hematology Division, New Haven CT 06510-3206. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Podoltsev, Nikolai Alexandrovich can be contacted via phone (203) 200-4363.Contact Information
Primary practice address
333 Cedar St Yale University School Of Medicine, Hematology Division
New Haven CT 06510-3206
Phone: (203) 200-4363
Fax: (203) 785-3788
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 038990 | Connecticut |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 038990 | Connecticut |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 038990 | Connecticut |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 038990 | Connecticut |
Profile Details
| NPI number | 1891731667 |
|---|---|
| LBN Legal business name | Podoltsev, Nikolai Alexandrovich |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Jan 11th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891731667 | NPPES |
| Connecticut | MEDICAID | 001389908 |
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