Individual
DR. ILYA VLADIMIROVICH LATYSHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-7841
Mailing address
4029 BURNETT-WOMACK BLDG, CB #7081, CHAPEL HILL, NC 27599-0001
(919) 966-7841
(919) 966-4653
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2018-00158
NC
208600000X
Surgery Physician
Primary
2018-00158
NC
Other
Enumeration date
05/25/2013
Last updated
06/10/2026
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