Slava I Kulakov in Monroe - Internal Medicine

Slava I Kulakov - NPI 1073524104

Slava I Kulakov is a Internal Medicine in Monroe, Connecticut. Slava I Kulakov practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Slava I Kulakov is 1073524104. The last update date is 2019-06-25.

Slava I Kulakov's current location address is 765 Main St, Monroe, Connecticut. You can contact this provider via phone number 2032550695 and fax number 2032550629. The mailing address for Slava I Kulakov is 765 Main St, Monroe, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Slava I Kulakov
Address 765 Main St, Monroe, Connecticut
Phone Number 2032550695
Fax Number 2032550629
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1073524104
Provider Enumeration Date 2006-08-11
Last Updated Date 2019-06-25

Provider Mailing Address Detail

Address 765 Main St
City Monroe
State Connecticut (CT)
Post Code 64682810
Phone Number 2032550695
Fax Number 2032550629

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 36896
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1368960 CT --
010036896CT01 CT BCBS
OV4890 CT HEALTHNET

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FAQs about Slava I Kulakov

What is the unique 10-digit identification code assigned to Slava I Kulakov by the Centers for Medicare & Medicaid Services?

The Slava I Kulakov has been issued the NPI (National Provider Identifier) 1073524104, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Slava I Kulakov is located?

The Slava I Kulakov is situated at the following address: 765 Main St, Monroe, CT, 64682810.

What is Slava I Kulakov's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Slava I Kulakov's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1073524104 to Slava I Kulakov?

The Centers for Medicare & Medicaid Services originally issued the 1073524104 to Slava I Kulakov on 2006-08-11.

As of what date was the information regarding Slava I Kulakov, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Slava I Kulakov, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-06-25.

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