PETR PROTIVA MD NPI 1962447409

NPI Information

NPI: 1962447409
Provider Name: PETR PROTIVA, MD
Classification: Internal Medicine - 207RG0100X
Entity Type: Individual

Specialization: Gastroenterology

Address:
950 CAMPBELL AVE
DEPARTMENT OF MEDICINE, BLD 1, 5TH FLOOR
WEST HAVEN, CT
ZIP 06516
Phone: (203) 932-5711
Get Directions

Petr Protiva, MD is a gastroenterology internal medicine in West Haven, CT. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Petr Protiva, MD NPI is 1962447409. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

950 CAMPBELL AVE
DEPARTMENT OF MEDICINE, BLD 1, 5TH FLOOR
WEST HAVEN, CT
ZIP 06516-770
Phone: (203) 932-5711

The enumeration date for this NPI number is 6/18/2006 and was last updated on 6/12/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0100X	Internal Medicine	Gastroenterology	044277	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	100000437	MEDICARE PIN	CONNECTICUT
2	I54979	MEDICARE UPIN	CONNECTICUT
3	1442772	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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