Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TETIANA KIHICZAK BAZARKO, DPM
Active Sole ProprietorRadiology Podiatrist · WATERBURY, CT
Registration Details
- NPI Number
- 1861555245
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 18, 2006 (19.341066807718 yrs)
- Last Updated
- Aug 6, 2019
- Licenses
-
000914 (CT)25MD00271900 (NJ)25MD00271900 (NJ)25MD00271900 (NJ)000914 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
389 HIGHLAND AVEWATERBURY, CT, 067083444Browse CT providers · Browse ZIP 06708
- Phone
- 2037540879
- Fax
- 2037574123
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
- Additional Specialty
- Podiatrist
- Additional Specialty
- Radiology Podiatrist
- Additional Specialty
- Foot Surgery Podiatrist
- Additional Specialty
- Radiology Podiatrist
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.