Reznikov, Tatyana
Reznikov, Tatyana is an sole proprietor health care provider with primary practice located at 116 Westminster Pike Suite 106, Reisterstown MD 21136-1027. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Reznikov, Tatyana can be contacted via phone (410) 833-1011.Contact Information
Primary practice address
116 Westminster Pike Suite 106
Reisterstown MD 21136-1027
Phone: (410) 833-1011
Fax: (410) 833-1705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | D0066080 | Maryland |
| Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine | 204R00000X | D0066080 | Maryland |
Profile Details
| NPI number | 1982819421 |
|---|---|
| LBN Legal business name | Reznikov, Tatyana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2007 |
| Last updated | Jan 18th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982819421 | NPPES |
| Maryland | MEDICAID | 512314300 | |
| Maryland | Other | 130198 |
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