DR. NIKOLAI ALEXANDROVICH PODOLTSEV M.D. PH.D. NPI 1891731667

NPI Information

NPI: 1891731667
Provider Name: DR. NIKOLAI ALEXANDROVICH PODOLTSEV, M.D., PH.D.
Classification: Internal Medicine - 207RH0000X
Entity Type: Individual

Specialization: Hematology

PECOS Registration: Yes

Address:
333 CEDAR ST
YALE UNIVERSITY SCHOOL OF MEDICINE, HEMATOLOGY DIVISION
NEW HAVEN, CT
ZIP 06510
Phone: (203) 200-4363
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DR. Nikolai Alexandrovich Podoltsev, M.D., PH.D. is a hematology internal medicine in New Haven, CT with 31 years of experience. The provider is an internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. DR. Nikolai Alexandrovich Podoltsev, M.D., PH.D. NPI is 1891731667. 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:

333 CEDAR ST
YALE UNIVERSITY SCHOOL OF MEDICINE, HEMATOLOGY DIVISION
NEW HAVEN, CT
ZIP 06510-206
Phone: (203) 200-4363
Fax: (203) 785-3788

The NPI 1891731667 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 1/11/2013.

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	207R00000X	Internal Medicine		038990	CONNECTICUT	No
2	207RX0202X	Internal Medicine	Medical Oncology	038990	CONNECTICUT	No
3	207RH0003X	Internal Medicine	Hematology & Oncology	038990	CONNECTICUT	No
4	207RH0000X	Internal Medicine	Hematology	038990	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	110008386	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT
2	001389908	MEDICAID	CONNECTICUT
3	110009005	MEDICARE PIN	CONNECTICUT
4	H46684	MEDICARE UPIN	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: 4/28/2024

NPI Synchronization or Removal

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