Individual
NIKITA Y TIHONOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0735
(409) 772-6366
(409) 747-0999
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0735
(409) 772-6366
(409) 747-0999
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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