Individual
DR. NIKOLAI ALEXANDROVICH PODOLTSEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
333 CEDAR ST, YALE UNIVERSITY SCHOOL OF MEDICINE, HEMATOLOGY DIVISION, NEW HAVEN, CT 06510-3206
(203) 200-4363
(203) 785-3788
Mailing address
PO BOX 208032, YALE UNIVERSITY SCHOOL OF MEDICINE, HEMATOLOGY DIVISION, NEW HAVEN, CT 06520-8032
(203) 200-4363
(203) 785-3788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
038990
CT
207RH0000X
Hematology (Internal Medicine) Physician
Primary
038990
CT
207RH0003X
Hematology & Oncology Physician
038990
CT
207RX0202X
Medical Oncology Physician
038990
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001389908
—
CT
Enumeration date
06/21/2006
Last updated
01/11/2013
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