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

Dr. Vyacheslav Fattakhov, MD

Individual provider Anesthesiology Physician · NPI 1952395303

Dr. Vyacheslav Fattakhov, MD is an Anesthesiology in Roslyn Heights, New York. Qualified in 1992, 34 years ago. Practices with Frc Anesthesia Group, PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
34
Licensed in
NY
In the registry since
2005
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

108 Burnham Ave
Roslyn Heights, NY 11577-1935
Phone: (718) 795-7586
Fax: (347) 826-4155
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 231594-1 (NY)

Record details

NPI number1952395303
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2005
Last updated in NPPESMay 1, 2013

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Frc Anesthesia Group, Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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