Individual
RASIKH NAILOVICH TUKTAMYSHOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-3034
Mailing address
187 ORANGE ST, APT. 1A, NEW HAVEN, CT 06510-2017
(203) 500-9402
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50175
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/01/2008
Last updated
10/24/2011
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