MR. MIKHAIL ILIATOV NP NPI 1598694820

NPI Information

  • NPI: 1598694820
  • Provider Name: MR. MIKHAIL ILIATOV, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 6802 RIDGE BLVD APT 3B
    BROOKLYN, NY
    ZIP 11220
  • Phone: (347) 724-3435

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NPI Details

MR. Mikhail Iliatov, NP is an adult health nurse practitioner in Brooklyn, NY. MR. Mikhail Iliatov, NP NPI is 1598694820. 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:

6802 RIDGE BLVD APT 3B
BROOKLYN, NY
ZIP 11220-817
Phone: (347) 724-3435

The enumeration date for this NPI number is 5/14/2026 and was last updated on 5/14/2026.

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
1363LA2200XNurse PractitionerAdult HealthF312747-01NEW YORKYes

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: 11/21/2025

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