Active NPIIndividual provider

Dr. Dmitry Tarasevich, MD

Internal Medicine in Peterborough, New Hampshire

NPI Number1215119532
Practice location
454 Old Street Road, Suite 301, Peterborough, NH 03458-1263
Fax
603-924-4977
Last updated
March 29, 2021

Dmitry Tarasevich is an Internal Medicine based in Peterborough, NH. Dmitry Tarasevich practices in Peterborough, NH and has the professional credentials of MD. The NPI Number for Dmitry Tarasevich is 1215119532 and holds a License No. 15050 (NH). The current practice location address for Dmitry Tarasevich is 454 Old Street Road, Suite 301, Peterborough, NH 03458-1263 and can be reached out via phone at 603-924-4680 and via fax at 603-924-4977.

Provider Profile Details

NPI Number
1215119532
Provider Name
Dmitry Tarasevich
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
454 Old Street Road, Suite 301, Peterborough, NH 03458-1263
Phone Number
603-924-4680
Fax Number
603-924-4977
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
November 28, 2007
Last Update Date
March 29, 2021
Certification Date
March 29, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
454 Old Street Road
Suite 301
Peterborough, NH 03458-1263
Zip
03458-1263
Phone Number
603-924-4680
Fax Number
603-924-4977
Peterborough, NH 03458Get directions →

Provider Business Mailing Address Details

Address
454 Old Street Road
Suite 301
Peterborough, NH 03458-1263
City
Peterborough
State
NH
Zip
03458-1263
Phone Number
603-924-4680
Fax Number
603-924-4977

License Information

License Number
15050
License State
NH
Taxonomy
Internal Medicine · 207R00000X · 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 Dr. Dmitry Tarasevich, MD?

The NPI number of Dr. Dmitry Tarasevich, MD is 1215119532. It was assigned on November 28, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Dmitry Tarasevich, MD?

Dr. Dmitry Tarasevich, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NH under license number 15050.

Where does Dr. Dmitry Tarasevich, MD practice?

The practice location is 454 Old Street Road, Suite 301, Peterborough, NH 03458-1263. The office can be reached at 603-924-4680 (phone) or 603-924-4977 (fax).

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 1215119532 directly on the NPPES registry website.

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