Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ilya Fatakhov, MD

Individual provider Internal Medicine Physician · NPI 1508286576

Dr. Ilya Fatakhov, MD is a Hospitalist in Stamford, Connecticut. Qualified in 2014, 12 years ago. Practices with Stamford Health Medical Group Inc, a 432-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
12
Licensed in
CT
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Hospital Plz Dept OF
Stamford, CT 06902-3602
Phone: (203) 276-7298
Fax: (203) 276-4842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 56588 (CT)

Record details

NPI number1508286576
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2014
Last updated in NPPESJuly 29, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Stamford Health Medical Group Inc — 432 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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