Active NPIIndividual provider

Larisa L Davydova, MD

Specialist in West Haven, Connecticut

NPI Number1396839916
Practice location
950 Campbell Ave, West Haven, CT 06516
Fax
203-937-4704
Last updated
July 8, 2007

Larisa Laura Davydova is a Specialist based in West Haven, CT. Larisa Laura Davydova practices in West Haven, CT and has the professional credentials of MD. The NPI Number for Larisa Laura Davydova is 1396839916 and holds a License No. 043978 (CT). The current practice location address for Larisa Laura Davydova is 950 Campbell Ave, West Haven, CT 06516 and can be reached out via phone at 203-932-5711 and via fax at 203-937-4704.

Provider Profile Details

NPI Number
1396839916
Provider Name
Larisa Laura Davydova
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
950 Campbell Ave, West Haven, CT 06516
Phone Number
203-932-5711
Fax Number
203-937-4704
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Provider Enumeration Date
October 3, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
950 Campbell Ave
West Haven, CT 06516
Zip
06516
Phone Number
203-932-5711
Fax Number
203-937-4704
West Haven, CT 06516Get directions →

Provider Business Mailing Address Details

Address
950 Campbell Ave
West Haven, CT 06516
City
West Haven
State
CT
Zip
06516

License Information

License Number
043978
License State
CT
Taxonomy
Specialist · 174400000X · 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 Larisa L Davydova, MD?

The NPI number of Larisa L Davydova, MD is 1396839916. It was assigned on October 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Larisa L Davydova, MD?

Larisa L Davydova, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in CT under license number 043978.

Where does Larisa L Davydova, MD practice?

The practice location is 950 Campbell Ave, West Haven, CT 06516. The office can be reached at 203-932-5711 (phone) or 203-937-4704 (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 1396839916 directly on the NPPES registry website.

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