Provider Demographics
NPI:1396757829
Name:BYKOV, VICTOR (M D)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:
Last Name:BYKOV
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 BINNACLE DRIVE
Mailing Address - Street 2:UNIT 106
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-0288
Mailing Address - Country:US
Mailing Address - Phone:440-477-2897
Mailing Address - Fax:
Practice Address - Street 1:303 BINNACLE DRIVE
Practice Address - Street 2:UNIT 106
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-0288
Practice Address - Country:US
Practice Address - Phone:440-477-2897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-06-8421-B2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2260940Medicaid
OH4139937Medicare PIN
OH4139936Medicare PIN
OH2260940Medicaid