Individual
ILYA BLOKHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
1023531
MA
2084P0802X
Addiction Psychiatry Physician
Primary
1023531
MA
Other
Enumeration date
03/24/2020
Last updated
09/24/2025
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