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

Ivan Stukalau, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235701202

Ivan Stukalau, MD is an Internal Medicine in Dover, New Hampshire. Qualified in 2018, 8 years ago. Practices with Wentworth Douglass Physician Corporation, a 431-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Hampshire.

Years since qualifying
8
Licensed in
NH
In the registry since
2021
Specialties on file
2
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

10 Members Way Fl 5
Dover, NH 03820-5933
Phone: (603) 609-6800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 234 E 149th St, Bronx, NY 10451-5504 — (347) 721-4031

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 24526 (NH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1235701202
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2021
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024
Mailing addressPo Box 412503, Boston, MA 02241-1784

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Wentworth Douglass Physician Corporation — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Dover