Active NPIIndividual provider

Zinaida Boutaeva, MD

Psychiatry & Neurology, Addiction Psychiatry in Orange, Connecticut

NPI Number1154583748
Practice location
6232 Avalon Dr W, Orange, CT 06477-3679
Fax
—
Last updated
June 25, 2008

Zinaida Boutaeva is a Psychiatry & Neurology, Addiction Psychiatry based in Orange, CT. Zinaida Boutaeva practices in Orange, CT and has the professional credentials of MD. The NPI Number for Zinaida Boutaeva is 1154583748 and holds a License No. 046350 (CT). The current practice location address for Zinaida Boutaeva is 6232 Avalon Dr W, Orange, CT 06477-3679 and can be reached out via phone at 203-908-3138.

Provider Profile Details

NPI Number
1154583748
Provider Name
Zinaida Boutaeva
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
6232 Avalon Dr W, Orange, CT 06477-3679
Phone Number
203-908-3138
Primary Taxonomy
Psychiatry & Neurology, Addiction Psychiatry · 2084P0802X
Sole Proprietor
No
Provider Enumeration Date
June 25, 2008
Last Update Date
June 25, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
6232 Avalon Dr W
Orange, CT 06477-3679
City
Orange
Zip
06477-3679
Phone Number
203-908-3138
Orange, CT 06477Get directions →

Provider Business Mailing Address Details

Address
6232 Avalon Dr W
Orange, CT 06477-3679
City
Orange
State
CT
Zip
06477-3679
Phone Number
203-908-3138

License Information

License Number
046350
License State
CT
Taxonomy
Psychiatry & Neurology, Addiction Psychiatry · 2084P0802X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Zinaida Boutaeva, MD?

The NPI number of Zinaida Boutaeva, MD is 1154583748. It was assigned on June 25, 2008 and is currently active in the NPPES registry.

What is the specialty of Zinaida Boutaeva, MD?

Zinaida Boutaeva, MD is registered under the primary taxonomy Psychiatry & Neurology, Addiction Psychiatry (code 2084P0802X), licensed in CT under license number 046350.

Where does Zinaida Boutaeva, MD practice?

The practice location is 6232 Avalon Dr W, Orange, CT 06477-3679. The office can be reached at 203-908-3138 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154583748 directly on the NPPES registry website.

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