Active NPIIndividual providerSole proprietor

Tetiana K Bazarko, DPM

Podiatrist, Primary Podiatric Medicine in Waterbury, Connecticut

NPI Number1861555245
Practice location
389 Highland Ave, Waterbury, CT 06708-3444
Fax
203-757-4123
Last updated
August 6, 2019

Tetiana Kihiczak Bazarko is a Podiatrist, Primary Podiatric Medicine based in Waterbury, CT. Tetiana Kihiczak Bazarko practices in Waterbury, CT and has the professional credentials of DPM. The NPI Number for Tetiana Kihiczak Bazarko is 1861555245 and holds a License No. 000914 (CT). The current practice location address for Tetiana Kihiczak Bazarko is 389 Highland Ave, Waterbury, CT 06708-3444 and can be reached out via phone at 203-754-0879 and via fax at 203-757-4123.

Provider Profile Details

NPI Number
1861555245
Provider Name
Tetiana Kihiczak Bazarko
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
389 Highland Ave, Waterbury, CT 06708-3444
Phone Number
203-754-0879
Fax Number
203-757-4123
Primary Taxonomy
Podiatrist, Primary Podiatric Medicine · 213EP1101X
Sole Proprietor
Yes
Other Names
Tetiana Kihiczak Bazarko, DPM (Professional Name)
Provider Enumeration Date
December 18, 2006
Last Update Date
August 6, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
389 Highland Ave
Waterbury, CT 06708-3444
Zip
06708-3444
Phone Number
203-754-0879
Fax Number
203-757-4123
Waterbury, CT 06708Get directions →

Provider Business Mailing Address Details

Address
389 Highland Ave
Waterbury, CT 06708-3444
City
Waterbury
State
CT
Zip
06708-3444

License Information

License Number (1)
000914
License State (1)
CT
Taxonomy (1)
Podiatrist · 213E00000X
License Number (2)
25MD00271900
License State (2)
NJ
Taxonomy (2)
Podiatrist · 213E00000X
License Number (3)
25MD00271900
License State (3)
NJ
Taxonomy (3)
Podiatrist, Primary Podiatric Medicine · 213EP1101X
License Number (4)
25MD00271900
License State (4)
NJ
Taxonomy (4)
· 213ES0131X
License Number (5)
000914
License State (5)
CT
Taxonomy (5)
Podiatrist, Primary Podiatric Medicine · 213EP1101X · 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 Tetiana K Bazarko, DPM?

The NPI number of Tetiana K Bazarko, DPM is 1861555245. It was assigned on December 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Tetiana K Bazarko, DPM?

Tetiana K Bazarko, DPM is registered under the primary taxonomy Podiatrist, Primary Podiatric Medicine (code 213EP1101X), licensed in CT under license number 000914.

Where does Tetiana K Bazarko, DPM practice?

The practice location is 389 Highland Ave, Waterbury, CT 06708-3444. The office can be reached at 203-754-0879 (phone) or 203-757-4123 (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 1861555245 directly on the NPPES registry website.

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