Artem Dyatlov, MD
Surgery in Bridgeport, Connecticut
1316378615- Practice location
- 2660 Main St Ste 110, Bridgeport, CT 06606-5301
- Phone
- 203-332-4744
- Fax
- —
- Last updated
- October 18, 2021
Artem Dyatlov is a Surgery based in Bridgeport, CT. Artem Dyatlov practices in Bridgeport, CT and has the professional credentials of MD. The NPI Number for Artem Dyatlov is 1316378615 and holds a License No. MD462842 (PA). The current practice location address for Artem Dyatlov is 2660 Main St Ste 110, Bridgeport, CT 06606-5301 and can be reached out via phone at 203-332-4744.
Provider Profile Details
- NPI Number
- 1316378615
- Provider Name
- Artem Dyatlov
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2660 Main St Ste 110, Bridgeport, CT 06606-5301
- Phone Number
- 203-332-4744
- Primary Taxonomy
- Surgery · 208600000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 11, 2013
- Last Update Date
- October 18, 2021
- Certification Date
- October 18, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2660 Main St Ste 110
Bridgeport, CT 06606-5301 - City
- Bridgeport
- State
- Connecticut
- Zip
- 06606-5301
- Phone Number
- 203-332-4744
Provider Business Mailing Address Details
- Address
- 2660 Main St Ste 110
Bridgeport, CT 06606-5301 - City
- Bridgeport
- State
- CT
- Zip
- 06606-5301
- Phone Number
- 203-332-4744
License Information
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Surgery providers near Bridgeport, CT
View all Surgery providers in Bridgeport →Frequently Asked Questions
What is the NPI number of Artem Dyatlov, MD?
The NPI number of Artem Dyatlov, MD is 1316378615. It was assigned on December 11, 2013 and is currently active in the NPPES registry.
What is the specialty of Artem Dyatlov, MD?
Artem Dyatlov, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in PA under license number MD462842.
Where does Artem Dyatlov, MD practice?
The practice location is 2660 Main St Ste 110, Bridgeport, CT 06606-5301. The office can be reached at 203-332-4744 (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 1316378615 directly on the NPPES registry website.