ILYA FATAKHOV

STAMFORD, CT
NPI1508286576
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CT  56588)
Enumeration Date2014-04-17
Last Update Date2019-07-29
Business Address
Dr. ILYA FATAKHOV M.D.
1 HOSPITAL PLZ DEPT OF
STAMFORD, CT 06902-3602
Phone number: 203-276-7298
Mailing Address
Dr. ILYA FATAKHOV M.D.
1 HOSPITAL PLZ DEPT OF
STAMFORD, CT 06902-3602
Phone number: 203-276-7147
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