Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ILYA A KHOTIMSKY, M.D.
ActiveILYA A KHOTIMSKY, M.D. is a Anesthesiology healthcare provider located in FOND DU LAC, Wisconsin. NPI 1245563329 is currently active in the NPPES registry. Verify at CMS.
Anesthesiology · FOND DU LAC, WI
Registration Details
- NPI Number
- 1245563329
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 8, 2009 (16.964468191213 yrs)
- Last Updated
- Dec 30, 2021
- Licenses
-
56854-20 (WI)56854-20 (WI)56854 (WI)
Practice Information
- Address
-
430 E DIVISION STFOND DU LAC, WI, 549354560Browse WI providers · Browse ZIP 54935
- Phone
- 9209292300
- Primary Specialty
-
Anesthesiology
207L00000X
- Additional Specialty
- Critical Care Medicine (Anesthesiology)
- Additional Specialty
- Anesthesiology
Other Anesthesiology Providers in FOND DU LAC, WI
| Name | Credential | NPI |
|---|---|---|
| THOMAS J KUNKEL | MD | 1346221637 |
| HENRY T CHANG | MD | 1316921893 |
| TAI H KWON | MD | 1356327019 |
| ANTHONY K STRIGENZ | MD | 1073599742 |
| SHOGI-TEN TSAI | MD | 1568448264 |
| CHARLES P BENNETT | MD | 1821077801 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.