Tatevian, Nina

Tatevian, Nina is an individual health care provider with primary practice located at 101 Dudley St , Providence RI 02905-2401. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Pediatric Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is her primary health care specialty. Tatevian, Nina can be contacted via phone (401) 453-7655.

Contact Information

Primary practice address
101 Dudley St Providence RI 02905-2401
Phone: (401) 453-7655
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X MD10517 Rhode Island
Allopathic & Osteopathic Physicians / Pediatric Pathology 207ZP0213X MD10517 Rhode Island
Allopathic & Osteopathic Physicians / Pediatric Pathology 207ZP0213X L3158 Texas
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X L3158 Texas

Profile Details

NPI number 1154377000
LBN Legal business name Tatevian, Nina
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Sep 27th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154377000 NPPES
Texas MEDICAID 147785301
Texas Other 147785302

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