Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. VITALIY ZHIVOTENKO, D.O.
Active Sole ProprietorDR. VITALIY ZHIVOTENKO, D.O. is a Interventional Vascular Surgery healthcare provider located in PARADISE VALLEY, Arizona. NPI 1336431907 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · PARADISE VALLEY, AZ
Registration Details
- NPI Number
- 1336431907
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 13, 2011 (15.28348947824 yrs)
- Last Updated
- Oct 3, 2025
- Licenses
-
282150 (NY)282150 (NY)008793 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5410 N SCOTTSDALE RD STE I-100APARADISE VALLEY, AZ, 852535927Browse AZ providers · Browse ZIP 85253
- Phone
- 4805722444
- Fax
- 6025817158
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Interventional Vascular Surgery
- Additional Specialty
- Interventional Vascular Surgery
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.