DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. ILYA VLADIMIROVICH LATYSHENKO M.D.

MEDICARE: DR. ILYA VLADIMIROVICH LATYSHENKO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician2018-00158NC
2207P00000XEmergency Medicine Physician2018-00158NC

General Provider Information

NPI Number : 1881031243
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ILYA VLADIMIROVICH LATYSHENKO M.D.
Provider Business Mailing Address
First Line : 4029 BURNETT-WOMACK BLDG
Second Line : CB #7081
City : CHAPEL HILL
State : NC
Zip : 27599-0001
Country : US
Telephone Number : 919-966-7841
Fax Number : 919-966-4653
Provider Business Practice Location Address
First Line : 101 MANNING DR
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27514-4220
Country : US
Telephone Number : 919-966-7841
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2013
Last Update Date : 06/10/2026

Similar Medicare Providers

1679905574 — AMANDA FRAZIER GAMMON FNP
Practice Location Address:
101 MANNING DR
CHAPEL HILL, NC
27514-4220
Practice Phone: 984-974-1000
Practice Fax:
1215478805 — DR. JEANETTE TRAVER VAN STEYN MD
Practice Location Address:
101 MANNING DR
CHAPEL HILL, NC
27514-4220
Practice Phone: 984-974-7337
Practice Fax:
1093644924 — DR. OTUTOCHUKWU AFOMACHUKWU NWAGBATA MD
Practice Location Address:
101 MANNING DR
CHAPEL HILL, NC
27514-4220
Practice Phone: 984-974-1000
Practice Fax:
1447184536 — KATHLEEN BALLARD PHARMD
Practice Location Address:
101 MANNING DR
CHAPEL HILL, NC
27514-4220
Practice Phone: 984-974-6810
Practice Fax:
1487282034 — RAVITEJA SURYADEVARA MD
Practice Location Address:
101 MANNING DR
CHAPEL HILL, NC
27514-4220
Practice Phone: 502-852-5875
Practice Fax:
1619809175 — DEJA FULLER
Practice Location Address:
101 MANNING DR
CHAPEL HILL, NC
27514-4220
Practice Phone: 984-974-1000
Practice Fax:

Directions to “ DR. ILYA VLADIMIROVICH LATYSHENKO M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.