Tatiana Suvorov
Physician Assistant, Medical in Revere, Massachusetts
1346599420- Practice location
- Cha Revere Family Care Center, 454 Broadway, Revere, MA 02151
- Phone
- 781-485-8222
- Fax
- —
- Last updated
- June 13, 2019
Tatiana Suvorov is a Physician Assistant, Medical based in Revere, MA. Tatiana Suvorov practices in Revere, MA. The NPI Number for Tatiana Suvorov is 1346599420 and holds a License No. PA6778 (MA). The current practice location address for Tatiana Suvorov is Cha Revere Family Care Center, 454 Broadway, Revere, MA 02151 and can be reached out via phone at 781-485-8222.
Provider Profile Details
- NPI Number
- 1346599420
- Provider Name
- Tatiana Suvorov
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- Cha Revere Family Care Center, 454 Broadway, Revere, MA 02151
- Phone Number
- 781-485-8222
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Other Names
- Tatiana Saunders, PA-C (Former Name)
- Provider Enumeration Date
- September 5, 2012
- Last Update Date
- June 13, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Cha Revere Family Care Center
454 Broadway
Revere, MA 02151 - City
- Revere
- State
- Massachusetts
- Zip
- 02151
- Phone Number
- 781-485-8222
Provider Business Mailing Address Details
- Address
- Cambridge Health Alliance
1493 Cambridge Street
Cambridge, MA 02139 - City
- Cambridge
- State
- MA
- Zip
- 02139
- Phone Number
- 617-665-1000
License Information
- License Number (1)
- PA6778
- License State (1)
- MA
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X · Primary
- License Number (2)
- 015788
- License State (2)
- NY
- Taxonomy (2)
- Physician Assistant · 363A00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tatiana Suvorov?
The NPI number of Tatiana Suvorov is 1346599420. It was assigned on September 5, 2012 and is currently active in the NPPES registry.
What is the specialty of Tatiana Suvorov?
Tatiana Suvorov is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number PA6778.
Where does Tatiana Suvorov practice?
The practice location is Cha Revere Family Care Center, 454 Broadway, Revere, MA 02151. The office can be reached at 781-485-8222 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346599420 directly on the NPPES registry website.