Active NPIIndividual providerSole proprietor

Ksenia Skorohodova, MD

Radiology, Diagnostic Radiology in Bedford, New Hampshire

NPI Number1720510175
Practice location
703 Riverway Pl, Bedford, NH 03110-6745
Fax
603-669-6944
Last updated
August 13, 2024

Ksenia Skorohodova is a Radiology, Diagnostic Radiology based in Bedford, NH. Ksenia Skorohodova practices in Bedford, NH and has the professional credentials of MD. The NPI Number for Ksenia Skorohodova is 1720510175 and holds a License No. 33106 (NH). The current practice location address for Ksenia Skorohodova is 703 Riverway Pl, Bedford, NH 03110-6745 and can be reached out via phone at 603-627-1661 and via fax at 603-669-6944.

Provider Profile Details

NPI Number
1720510175
Provider Name
Ksenia Skorohodova
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
703 Riverway Pl, Bedford, NH 03110-6745
Phone Number
603-627-1661
Fax Number
603-669-6944
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
Yes
Other Names
-- Ksenia Skorokhodova (Other Name)
Provider Enumeration Date
April 3, 2017
Last Update Date
August 13, 2024
Certification Date
August 13, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
703 Riverway Pl
Bedford, NH 03110-6745
Zip
03110-6745
Phone Number
603-627-1661
Fax Number
603-669-6944
Bedford, NH 03110Get directions →

Provider Business Mailing Address Details

Address
703 Riverway Pl
Bedford, NH 03110-6745
City
Bedford
State
NH
Zip
03110-6745
Phone Number
603-627-1661
Fax Number
603-669-6944

License Information

License Number (1)
33106
License State (1)
NH
Taxonomy (1)
Radiology, Diagnostic Radiology · 2085R0202X
License Number (3)
315671
License State (3)
NY
Taxonomy (3)
Radiology, Diagnostic Radiology · 2085R0202X · 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 Ksenia Skorohodova, MD?

The NPI number of Ksenia Skorohodova, MD is 1720510175. It was assigned on April 3, 2017 and is currently active in the NPPES registry.

What is the specialty of Ksenia Skorohodova, MD?

Ksenia Skorohodova, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in NH under license number 33106.

Where does Ksenia Skorohodova, MD practice?

The practice location is 703 Riverway Pl, Bedford, NH 03110-6745. The office can be reached at 603-627-1661 (phone) or 603-669-6944 (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 1720510175 directly on the NPPES registry website.

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