Individual
NIKITA Y TIHONOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
036.133696
IL
2086S0129X
Vascular Surgery Physician
Primary
LT-3600
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01594542
RAILROAD MEDICARE
NH
Enumeration date
08/06/2007
Last updated
11/17/2023
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