THEODORE DIKTABAN MD NPI 1194811331

NPI Information

NPI: 1194811331
Provider Name: THEODORE DIKTABAN, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Address:
911 PARK AVE
SUITE 1A
NEW YORK, NY
ZIP 10075
Phone: (212) 988-5656
Get Directions

Theodore Diktaban, MD is a plastic and reconstructive surgery surgery in New York, NY. The provider is a surgeon who specializes in plastic and reconstructive surgery. Theodore Diktaban, MD NPI is 1194811331. 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:

911 PARK AVE
SUITE 1A
NEW YORK, NY
ZIP 10075-337
Phone: (212) 988-5656
Fax: (212) 288-8303

The enumeration date for this NPI number is 10/5/2006 and was last updated on 4/1/2008.

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	2086S0122X	Surgery	Plastic and Reconstructive Surgery	131434	NEW YORK	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	00773946	MEDICAID	NEW YORK
2	A99096	MEDICARE UPIN
3	08D141	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK

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: 4/28/2024

NPI Synchronization or Removal

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